HomeMy WebLinkAboutOut of State Travel Request - Renew (003)G,MN,T COUNTY
COMMISSIONERS AGENDAMEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm ph Thursday)
.. . 9
REQUESTING DEPARTMENT: Renew
REQUEST SUBMITTED BY.Anna Serrano
CONTACT PERSON ATTENDING ROUNDTABLE. Dell Anderson
CONFIDENTIAL .1 N FORMATIOW DYES ONO
DATE: 2/6/24
.509) 765-0239 Ext. 5353
PHONE.
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DATE OFACTION.
.APPROVE: DENIED ABSTAIN
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-DEFERRED OR CONTINUED TO, -
DA greement Contract
OAP VouchersDAppoin,
en Reappointmenttm t*
DARPA Related
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013id Opening Scheduled
1313odrds / Committees
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El Computer Related
C]Cou'nty Code
DEmergency Purchase
0IEmployee Rel.
.[]Facilities- Related
[]Financial
El Funds
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ElInVoices Purchase Orders
ElGrants — Fed/State/County
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COMM
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.Out of state travel for Fernando GalarZ514/24 to 5110/24, AAS Natio'n-al. Conference
Las Vegas', total cost of $3,327.23
Funding Code 1 08.150.00.9000i566,51,4917
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DATE OFACTION.
.APPROVE: DENIED ABSTAIN
DI:
D2-.
D3:
I
-DEFERRED OR CONTINUED TO, -
2/612413:04 PM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Fernando Galarza
M% A VM at "V. -0 IV NOW %V I Ile
Departure Date*
5/4/2024
1.0.8:910. AM
Dept/Committee*
Renew
Return Date*
5/1012024
05:00 PM
Grant County, WA
Date of Request*
Z/6/2024
Grant*
Ye, 8
Travel Type*
Out of State Travel %A
Fund/Dept*
so ABPA 1.
Destination (City, County, State)* Purpose of Travel*
W . 1 0 k , W - W
Las Vegas, NV American Association of Suicidology Conference
lei
Hotel - GSA Rate*
$120-00
Hotel Total*
Hotel - Nightly Rate* Cost Application*
$154.00 Conference Rate
lei
Conference Fee* Daily MME at
$1,217.73 $1,149.00 q ...... Destination*
I-
$60.00
X
Rental Car Required
No V
Rental Car Cost per
day*
$0
X
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 $3,327.23 ..... ...
4 41
Preparees Name* Preparees Title*
Anna Serrano Accounting Technician
Preapproved by EO/DH?
Yes
V
https://www.grantcou ntywa, gov/FormCenterJPr1nt?form I D=86&Preview=YES&Save=False&saved Progress ID= 1/2
TRAINING REQUEST
STAFF NAME:eXt"IC10
NAME OF TRAINING: t
LOCATION: �e,
5
LOCATED IN WA STATE? [:]Yes [ENO
DATES OF TRAINING through
DEPARTING DATE & TIMEN S/ */ 2N
RETURNING DATE &TIME:
HOTEL NEEDED? yes [:].No �{��,..
AIRFARE NEEDED? Yes ONO
FLIGHT PREFERENCES:
REGISTRATION'NEEDED? (]Yes ONo
TRAVEL REQUEST
EMAIL ADDRESS: Z
Ct./-
Js
DATE:
TRAVEL P Q R P OS E: T JA I
RECEIVED
JAN 2 J 2024
RENEW
Already Registered
x I will register myself
WHO WILL BE IMPACTED BY THIS TRAINING?
EqEmployeeTeam Members ❑Other Agency Staff ❑AllnyAgency Staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train your team,, other
teams yl leadership, ea ershiop, and other groups o. QlOev
jdeG�f� .Su,G'��✓'�,�` �`-,� i.�.�d i�r�`�`C �3,�vr GU�e'�3f „%� �,�r
-,
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager initials
MANAGER APPROVAL (CIRCLE ONO: I T F -S, end for'. m
to Leadership for further approval
NO, Training is denied Manager initials
ESTIMATED COST'V.
Funding Source:
��,i� V"
.LEADERSHIP APPROVAL (CIRLCE ONE NES NO /" � �-j
I ALS Date
7/27/23
-ok
i � AMERICAN ASSOCIATION UFSUICIUOLOGY
57TH ANNUAL CONFERENCE
A
MAY 5-10,2024 1 LAS VEGAS, NV
P"LJN% amp 31C
�p�VEGAS
MAKE AN , NEVADARENCE
I C A N 2024
7 x_I:r. IM: PA&CT MAY 5-10,
AA'824 RF-61STRATION INFORMATION
AA524 registration ill
I w open in JanuarV 2024. Ther u 4) types registration fees and there Is member and nonmember pr
There four icing
available.,AAS24;wlll feature new activities, tracks, -and events.'.For more information visit wwW.suicidology.org/aa824.
I. Sunday, Monday & Tuesday -Training &
Certi fication Days are on Sunday and Monday. Two full days featuring multiple training and
certification courses. Take advantage of this opportunity and sign up for M
9 a 1. ore than one course as long as they are not offered at the
same time. Tuesday is Symposia Day. Afull day of symposia that follows 3 topical areas; Technology & Innovation, Crisis
Services
and
Research & Innovation.,
2. Tuesday -. Friday - Conference begins with SyTp
osia Day on Tuesday, .a full da of symposia that follows 3 topical areas- Technology &
Innovation, Crisis Services, and Res'iday e6rch & Innovation and continues through F with various workshops, networking, rking, exhibits,, Annual
Awards celebration, receptions, Thursdey evening 80s concert featuring The Spazma-tlics, and end's on Friday
with the Make An Imp'tict
Walk and, 'Healing After Suicide Los's. SuMmit (MASLS)
3. Friday is the, Make An Impact Walk and Healing After Suicide Loss Summit (HASLS) and included in Conference registration. If you are
attending i n `te-rfo-rth
riot a g the Conference, you may also register e
HASLSseparately bitherin, person or Virtually.
4, World Pass includes.all events, meals, networking, anddu at!
e c on from Sunday -Friday. A great package deal to take -advantage of!
Early Bird Rate through March 1, 2024 11:59 PM EST
Early 1311rd Req-1stration
Member Price
Non- Member Price
Training & Certification Days
$649
$749
Conference
$679
$779
World Pass__$1,099
$11149
$111.99
Healing After Suicide Loss Summit (HASL8)..._.,
$50
$50
Regular Rate starting March 2, 2024 12:00 AM EST
Regular Registration
Member Price
Non -Member Price
Training & Certification Days
$699
$799
Conference
$729
$829
World Pass
$11149
$1,249
Healing After Suicide Loss Summit (HASLS)
$65
$65
� � AMERICAN. ASSOCIATION OF SUICIDOLOGY
441
57TH ANNUAL CONFERENCE
.-A
MAY 5-10.2024 LAS VEGAS, NVaB
MAKE AN 1111 ANNUAL CONFERENCE
LAS VEGAS, NEVADA
IMP,&CT MAY 5- 10, 2024
.Sunday, May 5th
rtifidoDays s (Dayl)
'Training & Ceea .
y
Various two-day, one -day, 4 -hour, and 2 -hour tralhings; spanning across t I he.f
ield
Monday, May 6th
Training & Certification Days (Day 2)
Various two-day, one -day, 4'hour, and 2-hour'tralhings spanning across the field
Tuesday, May 7th
Symposimm Day & Training & Certification Days (Day 3) & Conference Begins (Day 1)
• Three tracks of Research & Innovation,, Technology & Innovation, and Crisis Centers for a full day of education and information
• End the 'day with Ted Talk-stvle rtesent tibns and udate from suicide prevention offices across
the country
ry
• Welcome Receptioninthe Exhibit Hall with, Exhibitors
* Digital Poster Pre�sehtations
* 988 Rec,eptioh in the Evenind
Wednesday, May 8th
Conference (Day 2)
• Networking with Exhibitors Thro.ugho."ut the Day
Breakfast Keynote with h Col. Nicole Malachowki, USAF (Ret.)
• Sessions are centered around six (6) tracks to choose from throughout the day
o Clinicians
6 CoMmUhity/Lived Experiende/Loss Survivor
* Crisis Center
0 MilitaryNeteran/First Responder
o Research, & Innovation
o Workplace/Schools (K-12 & Post -secondary}
Digital Poster Presentation
• Paper Presentations
• Annual Meeting of the Organization & Installation of Board Members
• Annual Awards Reception & Recognition
Thursday, May 9th
Conference (Day 3)
e Morning Yoga for the Mind, Body & Soul
* Networking with Exhibitors Throughout the Day
• Sessions are centered around six (6) tracks to choose from throughout the day
o Clinicians
o Community/Lived Experience/Loss Survivor
o Crisis Center
o Military/Veteran/First Responder
o Research & Innovation
o Workplace/Schools (K-12 & Post -secondary)
* Two additional Keynote Speakers
• `80s Party & Concert featuring The 5pezmaties
Friday, May 11 th
Conference (Day 4) & dealing After Suicide Loss Summit
Walk Together For Healing & Hope — Walk in the morning with others for the Inaugural AAS Walk
* Educational and informational Sessions Including Breakouts for Newer Loss Survivors, Further Along Loss Survivors, and Healing &
Hope
• Closing Inspiring Keynote
• Conference ends at approximately 2pm
� � AMERICAN ASSOCIATION OF SUICIDOLOGY
57TH ANNUAL CONFERENCE
MAY 5-10,2024 (LAS VEGAS, NV ye'
/ /
siM
[AS VEGAS
.AAS24 Will'take place at the Paris. Las Vegas Hotel. AAS has secured a discounted room block at the hotel. Hotel reservations will open in
January .20.24. The discounted rate of $154+ is valid until. Sunday, April 7,, 2024, or Until rooms sell out.
Paris Las Vegas Hotel
3.655 La's Vegas Boulevard South
Las Vegas, W . 89109
RESERVE YOUR OVERNIGHT ROOM
mestions? contact conferenc@sul "d .I
ogyorg