HomeMy WebLinkAboutOut of State Travel Request - New Hope DV/SAGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12.:00pm on Thursday)
I
REQUESTING DEPARTMENT: New Hope/Kids Hope
REQUEST SUBMITTED BY..Suzi Fade
CONTACT PERSON ATTENDING ROUNDTABLE.- SUZI FOCIe
CONFIDENTIAL INFORMATION, DYES
DATE. 10,31.2023
PHONE."'0" .8402
t o4
�77
- -- -------- ------- --- --- ---- I
..........
Out of State Travel Request for Suzi Fode, Elisa Adolphsen, Trisha Glenn,
Sara. MacDonald and Celina Garcia atten-ding the 2024 San Diego
International Conference on Child and Family Maltreatment.
DATE OF ACTION.- � 2,1 1 12)t) -D
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
MENEM
ElAgreement I Contract
EIAP Vouchers -----------
ElAppointment / Reappointment
OARPA Related
E]Bids I RFPs /Quotes Award
013id Opening Scheduled
013oards / Committees
ElBudget
OComputer Related
Fl aunty Code
OEmergency Purchase
FlEmployee Rel.
0 Facilities Related
El Financial
F,Funds
F Hearing
0 Invoices / Purchase Orders
OGrants — Fed/State/County
Leases
EIMOA 11
]Minutes
ElOrdinances
Out of State Travel
0 Petty Cash
0policies
ElProclamations
0 Request for Purchase
OResolution
DRecornrnend.ation
[]Professional rv/Consultant
OSup ort Letter
P
OSurplus Req.
OTax Levies
OThank. You's
DTax Title Property
OW LCB
�77
- -- -------- ------- --- --- ---- I
..........
Out of State Travel Request for Suzi Fode, Elisa Adolphsen, Trisha Glenn,
Sara. MacDonald and Celina Garcia atten-ding the 2024 San Diego
International Conference on Child and Family Maltreatment.
DATE OF ACTION.- � 2,1 1 12)t) -D
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
OUT OF STATE TRAVEL REQUEST APPLICATION
N,1W
Elisa Adolphsen
Dept/Coniinittee*
Now Hope
128
600
DepartureD,00
11121/2024
Returi) Date*
112612024
'12:00 AI�IJ
11:30 PM
Destinsitioll (01y, County, State)
San Diego, CA
Hotel - GSA Raton' Ito tot - N Ightly Rate*
---------- -- ---
194 208
A
Date of Request* TyaVOITYPO
1013112023 Out of State Travel
Grant*
FuntUDept*
Yes
128
Purpose of Travel*
2024 San Diego International Conference a Child and.
Family Maltreatment
Cost ApplIcafloO Rental Car Requ ire d
Conference Rate No
Hotel Total*
Conference, Fee*
Dally MME at Desthustion*
1040
600
74
Explanation for Rate (requIred If lintel
cost Is greater than per diem, op government rate)*
:onference rate for lodging is above per diem wte,
'he conference fee is covered by our stake organization (not our grant funds).
)ur group has received an additional $2,000 in sponsorship to help cover oasts ($400 per person),
Ale Ca nler*
Cost of llght*
Delta and Alaska
300
Prepatoes Name
Suz! Fode
A
Rental Car Cost per day*
0
To fin I trip cost (Include a!1 cost totals)*
$1,347
Preparer's Title*
department head- Director
ff
Pxeapproved by EO/Dl.[?* Use of travel card to fill a rental vehicle gas tank prior to its return is recommended.
Yes
V
%0
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
SuziFode
Dept/Cominittee*
Now Htpe
128
Ho tel - GSA RRW
Departure Date*
Return Daae*
1.112612024—]
10:30 AM
.... ....... ........
11:3U PM
Destination (City, cualtlyp State)*
Fund/Dept*
San Diego, CA
128
Ho tel - GSA RRW
Hotel - Nightly Roo*
194
208
Hotel Total*
Conforeneo Fee*
1040
600
Explanation for Mite (required if Tiote) cost is greater than per diem, or governmont rate)*
Date of Request* 11-11val `dpe*
I I
0123/2023 Out of State Travel
Grout*
Fund/Dept*
Yea
128
Purpose of Ibivel"
Total trip cost (Inelmde fill Post totals)*
2024 San Diego International
Conference an Child and
Family Maltreatment
Cost Applleafloti*
Rental Car Required
Conference Rate
v Yes
Diffly M&E E at Destination*
iq K! NOW Wb.b. W--
7495
conference rate is above per them fate for lodging.
"he conference fee is covered by our state organization (n at our grant funds).
)ur group has received an additional $2,OOQ in sponsorship to help cover costs ($400 per person).
Rental Car Cost per day*
Air Carrier* Cost of Flight"
Total trip cost (Inelmde fill Post totals)*
Delta & Alaska 300
big i9ho iqi% 6-41—
$1.823
Preparees Name
Preparers Title*
Suzi Fade
department head- Director
Preapp roved by F, 01DII? Use of travel card to fill a rental vehicle
gas tank prior to its return Is recommended.
Yes
V
V
OUT OF STATE TRAVEL REQUEST APPLICATION
1avelerls 14fline*
Trisha Glenn
Dept/Cominittec*
New Hope
Date of Request*
Travel'[' pe*
Out of State Travel
Deporture Date*
11121 /2024
Return Date*
11/26/2024
Grant*
Yes
Fund/Dept*
128
12:00 AM
11:30 PM
Destlilatlelt (City, County, State)*
Purpose OfTravel*
San Diego. CA
A
2024 San Diego International Conference on Child and
Family Maltreatment
Hotel - GSA Rate
.-MM-Mbn mi MW
194
A
Rotel. -Nightly Rate*
208
Cost Application*
Conference Rate
Rentat Car Require(]
No
Hotel Totol* Conference F(!e* Daily MME at DestiuRttou*
------------
1040 600 74
A
Explanation for Rote (required if hotel cost Is greater that. per d1ein, or government rate)*
onfarence rate is above per them rate for lodging.
he Conference fea is covered by our state organization (not our grant funds).
iur group has received an addfflonal $2,000 in sponsorship to help coyer cDsts ($400 per pefson).
— ----------
Ali, Carrier* Cost of FIl gbt*
Delta and Alaska 300
A
Preparses Name
SuZi Fode
Rental Car Cost per day*
0
Total trip cost (Include nil cost totals)*
$1,347
A
Preparer's Title
department head- Director
Preapproved by EO/Dl-[?* Use of travel card to fill a rental vehicle gas tank prior to its return 13 recommended.
Yos V
V
V
OUT OF STATE TRAVEL REQUEST APPLICAT16N
Traveler's Name*
Celina Garcia
New Hope ---- -------
San Diego, CA
128
41
A
Hotel - nightly R;tte*
Departure Date*
Return Date*
112812024
Hotei'fotal*
11:30 PM
Desth)"flon (City, County, State)*
Fund/Dept*
San Diego, CA
128
Hotel - GSA Rate*
A
Hotel - nightly R;tte*
194
208
Hotei'fotal*
Conferencerice*
1040
- ----------
600
Explanadon for Rate (required If hotel cost
Is greater than per dioin, or government rate)*
Date of Request*
10131f2L2i I
Travel Type*
Out of State Travel
Grautft
Fund/Dept*
Yes
128
,Purpose of Darrel*
2024 San Diego International Conference on Child and
Family Maltreatment
............
Cost Appl:leatloit* Rental Cor Ro qu Ire d
Conference Rate No
Wily KME JaDeStI1121000
74
-'onference rate is above per dfem rate for lodging.
he conference fee is covered by our state organization (not our grant funds).
lur group has received an additional $21000 in sponsorships to help cover costs ($400 per person),
Air Carrier* Cost of FlIghi*
Delta and Alaska 300
Preparers Name;k
Suzi Folie
Wiltal Car Cost per day*
Total trip cost (Include all dost totals)*
$1,347
Preperer"s Title
department head- Director
Z -j
Proapproved by E OIDH?* Use of travel card to fill et rental Vehiole gas lank prior to its return is recommended.
Yes V
V
N?
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Sara MacDonald
Dept/Committee*
New Hope
128
600
BeparturoDate*
Return Date*
1/2112024
112612024
,
E2:00 AM
111:30 PM
Destln-Atlopi (0ty., County, State)*
San Diego, CA
Hotel - GSA Rabe* RON] - Nightly Rate*
194 208
Date of Requests Travell� pe*
1013112023 Out of State Travel
Grant*
Conference Fee*
Yes
128
Purpose of Travel*
2024 San Diego International Conference on Child and
Family Maltreatment
Cost Application* Rental Car Required
Conference Rate IV - No
Hotel Total*
Conference Fee*
Dally MME at Destin. ation*
Wibii PH
1040
600
74
Explanation for Rate (required If hotel
cost Is greater than per diem, or government rate)'
'inference rate Is above per them rate for lodging,
'he conference fee is covered by our state arganizaflon (not our grant funds),
ler group has received an addibonal $2,000 in sponsorship to help cover costs ($400 per person).
Air Carrier* Cost of Fligbt*
Delta and Alaska 300
Preparer's Name
SuziFode
Total trip remt (bicludt all cost totals)*
$1,347
Preparei'a'rlt:W
department head- Director
Proapproved by EO/Dli?*
Ye S V Use of travel cord to fill a rental vehicle gas tank prior to its return is recommended.
Rentnl Car Cost per day*
0
V
V