September - February CECMP Alternative Pathways CoP

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

September - February CECMP Alternative Pathways CoP - Request for Registration

Thank you for completing the following registration to request to attend our six-session Community of Practice (CoP.) Each registration will include one night's hotel room for the evening prior OR the night of the to the in-person CoP, for those traveling more than 50 miles to Chabot College, 25555 Hesperian Blvd., Hayward, CA 94545. The September 23 and January 6 session will be held in the Event Center, Building 700.

Reimbursable expenses will include:

Travel

1. Your roundtrip travel to and from the CoP. This includes travel by flight, train or car – whichever is the least expensive mode of transportation (take a screenshot to document least expensive mode) – to and from the CoP, beginning at your work or home – whichever is closest. CECMP will only reimburse for Lyfts, Uber, with a single stop, if this is the only and least expensive means of transportation (to/from an airport). This is a reimbursable travel expense at a rate of $.655/mile. A printout displaying miles traveled is required to receive reimbursement.

Meals

2. A continental breakfast and lunch will be provided September 23rd and January 6th. One dinner expense is covered for those staying at the hotel. Participants must provide an itemized receipt in order to be reimbursed. No alcohol may be purchased for reimbursement and tip is not included for reimbursement. The state maximum reimbursement rate for dinner is $23. We are unable to reimburse beyond that rate.

Please note, we are only able to accommodate special request for vegetarian based meals. If your dietary needs are more complex, please arrange to bring your own meal. Thank you for your understanding.

Email *

First Name *

Last Name *

Your home or work address, which ever is closer to Hayward. *

Associated Community College/Region. *

Alameda Regional

Columbia College

TCCAC

YMCA

What is your role? (Choose all that apply) *

Alternative Pathway Coordinator

Director

Teacher

Current CECMP Certified Mentor Teacher

Current CECMP Certified Director Mentor

Associate Teacher

ECE Student enrolled/enrolling in a Community College Practicum Course

Other:

Required

Yes, I certify I am traveling more than 50 miles and request a one night hotel room registration.

The evening prior to the in person CoP.

The evening of the in person CoP.

No preference, either is fine.

Clear selection

Do you require any ADA accommodations? *

Yes

If yes, please explain.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms