HomeMy WebLinkAboutOut of State Travel Request - RenewGRANT COUNTY
COMMISSIONERS AGENDA, MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Renew
.Anna Serrano
REQUEST SUBMITTED BY,.
CONTACT PE I RSON ATTENDING ROUNDTABLE. Dell Anders -on
CONFIDENTIAL INFORMATION* E]YES
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DATE/6/24.: 2
PHONE0,509) 76.5-9230 Ext. 5353
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OOutoar stafe travel:- for..BeihainY E scam R1 a - -to 5 V 1� t� 'atCOff I eren
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'Funding Code '108 150,00,.9g0U.566.51.4917
DATE. OF ACTION: c;� DEFERRED
ORCONTI[ UEDTO.
APPROVE: DENIED ABSTAIN
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2/6/244 3:03 PM
OUT of STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Bethany Escarnilla
Departure Date*
5/4/2024
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:o0 LAM ..j
Dept/Committee*
Renew
Return Date*
E012024
05:0Ill.-, 0 PM
Grant County, WA
Date of Request* Travel Type*
2/8/2024 Out of Stake Travel w
Grant* FundlDept*
Yes AR PA
Destination (City, County,. State)* Purpose of Travel*
Las Vegas, IAV American Association of Suicidology Conference
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Hotel - GSA Rate*
$120.00
f
Hotel Total*
$'13217.73
4
Hotel - Nightly Rate*
$154.00
Y•
Conference Fee*
$'1,149.00
Cost Application*
Conference Rate V
Daily MME at
Destination*
$69.00
le
Rental Car Required
IV7.! V
Rental Car Cost per
day*
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
No GSA rate rooms, conference rate only.
Air Carrier* Cost of Flight* Total trip cost (include all cost totals)*
-------------------------------
Delta $300 $31327.23
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Preparees Name* Preparees Title*
Anna Serrano Accounting Technician
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Preapproved by EC/DIS?
*
Yes
Y
haps:llwww.grantcountywa.govIFormCenterlPrint?formlD=80&Preview=YES&Save=Fare&savedProgresslD= 112
TRAINING. REQUEST TRAVEL REQUEST
STAFF NAME: EMAIL ADDRESS:
NAME OF TRAINING,�c�j��-�'�DATE:
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LOI.CATIO.N.::TRAVEL PURPOSE: 1NkkA'Vqk' C���'�r%�i,L�-
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LOCATED IN WA STATE? ❑Yes MNo
DATES 0 F TRAI N I N G:,
515 -through5110 2,,)
DEPARTING DATE & TIME:: ,��(�� �,,,�.�,
RETURNING DATE &TIME:
HOTEL NEEDED? M Yes ❑ No ��yQ�,�� ��;Yl� ��U�'�� "
vtu/ 4.xo'�(;(fin��
AIRFARE .NEEDED? Yes [:]No
FLIGHT PREFERENCES: kkL��
REGISTRATION, NEEDED? [Yes E]No
WHO WILL BE IMPACTED BY THIS
T.R.A.I. N I N G?
]EmployeeTeam Members El Other Agency Staff FlA1.1 Agency Staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train your team:, other
c en a
teams,
agencv leadership, and other groups. on?)
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MANAGER -APPROVAL TO TAKE- PERSONAL CAR:: Manager initials
MANAGER APPROVAL (CIRCLE ONE): YES, :Send form to Leadership for further approval
NO,. Training is denied Manager initials
ESTIMATED COST:
Wc� Ott 0
LEADERSHIP APPROVAL (CIRLCE ONE): Q! NO 1, N ITALS Date
1/28/22