PDF ACTIVITY AND BUDGET AUTHORIZATION FORM

Accounts/Word/Forms/PDF Forms/PDF Proposal Form FINAL-270312.docx

Section 1: General Details Name: __________________________________________________________________________ Conference/Course you wish to attend: _________________________________________________ __________________________________________________________________________________ Location: _________________________________________________________________________ Dates - From:_______________________ To:____________________________

Section 2: Background If you are attending a general convention, please list two or three sessions of particular interest to you: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ What do you hope to gain from this experience? __________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ How will you share what you learn through this experience? Please be specific: __________________________________________________________________________________ __________________________________________________________________________________ Please consult with your Department Head/ Subject Area Coordinator: ___________________________________________ (Middle School & High School Only) Department Head/Subject Area Coordinator Signature

PDF ACTIVITY AND BUDGET AUTHORIZATION FORM

Accounts/Word/Forms/PDF Forms/PDF Proposal Form FINAL-270312.docx

Section 3: Details of Expenses Should the PD occur during school time, the costs of a substitute must be considered. Will you need a substitute? -_________. If so, how many days ______ . Please consult the Expenses Policy and Procedures for guidance on allowable expenses. Estimated Expenses: 1. Registration Fee £ _______ $ _______ € _______ 2. Transportation £ _______ $ _______ € _______ (Amount must be obtained from Travel Coordinator) 3. Accommodation for _____days at _______a day £ _______ $ _______ € _______ 4. Food (maximum of £65 per day – see below *) £ _______ $ _______ € _______ 5. Materials £ _______ $ _______ € _______ Sub Total for each currency: £ _______ $ _______ € _______ ________________________________ ______________________________ (Signed by Applicant) (Date) ________________________________ ______________________________ (Signed by Administrator) (Date)

Section 4: Funding Source and Approval – To be completed by Divisional/Departmental Office

Individual PDF

Account No: T - __________ -20A Amount: £_______________ (A)

Additional Funds

If the PD opportunity is part of your professional growth or tied to a divisional or school goal:

If the PD is associated with a Curriculum Review or a publicized school wide initiative:

If presenting at a conference (prior approval needed) or an ECIS committee member:

Approved Amount:

£__________ (B) £__________ (B) £__________ (B)

Budget & Dept

Codes:

T___________-_____

G______-_____ £_________

G______-_____ £_________

G______-_____ £_________

G______-_____ £_________

Total Funds

approved: £__________ (A+ B)

Funding

approved by:

__________________________

Administrator

________________________

Director of Curriculum and Instruction

_______________________

Head of School

Date:

* Maximum rates for meals: Food expenses can be claimed if not included in accommodation rates, if

Breakfast £15 receipted, up to the maximum rates which include any tips and a Lunch £15 reasonable cost of alcohol within the dinner rate. Dinner £35