SCHOOL LEAVE  
Please complete this form for all school leave requests - NOT COACHING

*Send all registration information to Stacey Wempen at Central Office. Central Office will make all hotel, airfare, and other needed arrangements.
Email *
School leave employee name:
Name of professional or school leave *
Leave Dates: *
Location of professional or school leave *
Type of school leave: *
Required
Goals met with this conference: *
Required
Justification for attending: *
List other participants attending the same conference/meeting. If you are the only one attending, enter SELF *
If this is out-of-state travel, have you given TWO MONTHS notice: *
Registration fee - Enter $0 if no fee is required *
Do you need a substitute? If you need a sub, you need to enter your time off in TimeClock Plus.  It is your responsibility to make sure this leave is approved by your supervisor and that you have a sub for the time. *
If out-of-state, do you need airfare?
Estimated cost for airfare:
Do you need lodging? *
If yes, preference/comments:
if Yes above, hotel arrival date:
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Hotel departure date:
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Estimated hotel/lodging cost:
Estimated per diem amount (in-state: Breakfast $7; Lunch $15, Evening Meal $23) (out-of-State: per gsa.gov guidelines per day); if this is a day trip, no per diem will be reimbursed. See policy and staff handbook for complete guidelines. *
Other estimated costs (baggage fees, etc.) *
Is this General Fund (GF), Grant, or Student Activity (80) funding? *
Required
If this is student activity fund, please indicate the activity account as well as the dollar amount of funds in the account.
If this is funded by a grant, please select the Grant name.
Will you be requesting a school vehicle?   (If you choose to drive a personal vehicle, you may not be reimbursed for gas receipts or mileage)  *
Will you be requesting Student To-Go Meals from the Food Service Department? If yes, please complete this form at least two weeks prior to trip: https://forms.gle/kuiboStUwue88rJu9 *
Comments:
A copy of your responses will be emailed to .
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