HomeMy WebLinkAboutOut of State Travel Request - RenewGMNT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT:Renew - Crisis
REQUEST SUBMITTED BY:Anna Serrano
CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson
CONFIDENTIAL INFORMATION: DYES 1@N0
DATE: 7/19/24
PHONE. ! (509) 765-9239 ext. 6353
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If necessary, was this document reviewed by accounting? - F YES El NO F N/A
If necessary, was this document reviewed by legal? El YES El NO 1:1 N/A
DATE OF ACT[ON:�/�''
APPROVE: DENIED ABSTAIN
DI:
D2:
D3:
4/23/24
DEFERRED OR CONTINUED TO:
7/19124, 216 PM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Jamie Mullenix
Dept/Committee*
Crisis - Peer Support
Grant County, WA
Date of Request* Travel Type*
7/19/2024Out of State Travel V
Departure Date* Return Date* Grant* Fund/Dept*
......... ..
8/12/202.4j E811612024.j Yes Recovery Coach
RMPGRIA00 ac PIN, '1440
E2:00
AM 02:00 PM
Destination (City, County,, State)* Purpose of Travel*
New Haven, New Haven, CT Multiple Pathways of Recovery Conference
.......... . lee
Hotel - GSA Rate*
$0
Hotel - Nightly Rate*
$0
Cost Application* Rental Car Required
Government Rate V No V
Hotel Total* Conference Fee* Daily MWE at rental Car Cost per day*
$0 Destination*
$0
$69.00
4
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
we are not paying for hotel or flight.
40 -
Air Carrier* Cost of Flight* Total trip cost (include all cost totals)*
........... ------------------
N/A $0
$399.18
Preparer's Name Preparees Title*
Anna Serrano Accounting Technician
4
Preapproved by EO/DH?* Use of travel card to fill a rental vehiclegas tank prior to Its
Yes return is recommended. RECEIVED
JUL 19 2024
https-,Ilwww.granteountywa.gov/FormCenter/Print?formlD=86&Preview=YES&Save=False&savedProgresslD=15 ,GRANT COUNTY COMPOIS.SIONERS
El TRAINING REQUEST TRAVEL REQUEST RECEIVED
JUL 1 8 2021,
STAFF NAME: Jamiel-, Mullenix DATE: 7/18/2024 RENEW
NAME OF TRAINING: Multiple Pathways of Recovery Conference TRAVEL PURPOSE: Conference
LOCATION: New Haven, CT
LOCATED IN WA STATE? 0 Yes 0 No
DATES OF TRAINING: 8/13/2024 through 8/15/2024
DEPARTING DATE &TIME: 8/12/2024 2:00am
RETURNING DATE &TIME: 8/16/2024 2.-OOpm
HOTEL NEEDED? []Yes ZNo
AIRFARE NEEDED?` Cf Yes NNo FLIGHT PREFERENCES,''
11C, S
REGISTRATION NEEDED? El Yes Q No
WHO WILL RE IMPACTED BY THIS TRAINING?
FX_1 Employee E]Tearn Members El Other Agency Staff EIAII Agency staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train your team, other
teams, agency leadership, and other groups on?) Visiting Recovery Coaches in the ER, attending
sessions learning about pathways to recovery, self-care, and providing services/support to peers
............
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager 'Initials
MANAGER APPROVAL (CIRCLE ONE):PES Send form to Leadership for further approval
,_ 2
N -d Training is denied Manager Initials
ESTIMATED COST:
LEADERSHIP APPROVAL (CIRLCE ONE) YES NO INITALS Date
3/21/19
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Please note that all sessions listed here are subject to change without no . tice.
Our conference mobile app will always feature the most recently updated schedule of events. Download
instructions will be sent out to registered attendees the day before the event.
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