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Home My WebLink AboutOut 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 REQUEST SUBMITTED BY: Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson CONFIDENTIAL INFORMATION: ❑YE WNO DATE: 1 /9/25 PHONE, (509) 765-9239 ext. 5353 AP -4. (CH I . 29ND ❑Agreement l Contract DAP Vouchers ❑Appointment I Reappointment ❑ARPA Related ❑ Bids / RFPs 1 Quotes Award ❑ Bid Opening Scheduled ❑ Boards I Committees ❑Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Ref, ❑ Facilities Related ❑ Financial ❑ Funds []Hearing ❑ Invoices 1 Purchase Orders ❑ Grants -- Fed/State/County ❑ Leases ❑ MOA 1 MOU ❑ Minutes ❑ Ordinances B Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recominerndation ❑ Professional Serv/Consultant ❑ Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB fiLg r Out-of-state travel request for Bethany Escamilla, Maria Hallatt & Conne Guerrero AAS25 58th Annual Conference - Columbus, 01-1, March 29th - April 4th7 2025 Estimated Cost: $4,240.20 each / $12,720.60 Total Funding: 108.150.00.9000.556.51.xxxx (ARPA o Suicide Prevention) • r r -ntact I • r r • Finanp.ial Request Form prior If necessary, was this document reviewed by accounting? ❑ YES ❑ NO W N/A If necessary} was this document reviewed by legal? ❑ YES ❑ NO 0 NIA DATE OF ACTION:�� DEFERRED OR CONTINUED T0: APPROVE: DENIED ABSTAIN D1 : - 1, D2: D3: 4/23/24 WITHDRAWN: ri a e A'N 3 OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's- Name* DeptlCommittee* Date of Request* Travel Type* Bethany Escarnilla Suicide Prevention 1/9/2025 Out of State Travel Departure Date* Return Date* Grant* Fund/Dept* E 3j/29/20a25 14/4/2025 Yes ARPA 05:00 AM 1 El:: 4 5: P M DestInation. (City, County, State)* Purpose of Travel* Columbus, Franklin, OH Anterican Association of Suicidology 58th Annual Cc nference Hotel - GSA Rate* Hotel . Nightly Rate* Cost Application* Rental Car Required $131.00 $234.00 Conference Rate Na lei /,ei Hotel Total* Conference Fee* Daily MME at Rental Car Cost per $1 ,649.70 $1 t249.00 Destination' * day* A ft, AA.64 .0.4.4% ANN- 0 $80.00 $0.00 x ------- Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* U n ited $767 $4,240.20 ........ .. Preparer's Name* Preapproved by EO/DH?* Yes In. Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. OUT OF STATE TRAVEL REQUEST APPLICATION Traveleris Name* Dept/Committee* Cate of Request* Travel Type* e Maria Hallatt Case Manager 1912025 Out of State Travel X x Departure Late* Return Date* Grant` I"und/Dept* 0129/2025 E4/4/2025 Yes ` ARPA► 05:00 AID 11:45 PM 41 Destination (City, County, State)* Purpose of Travel* Columbus, Franklin, OH An ierican .Association of Suicidology 58th Annual Cc nference l Hotel M GSA Rate* Hotel, Lightly Rate* Cost Application* Rental Car Required $1 1.00 $2 4.00 Conference Rate No lei lei Motel Total* Conference Fee' Gaily M IE at Rental Car Cost per $1649.7g $'1,24g.0o Destination* day* a Explanation for Rate (required if motel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)* United $767 $4,240.20 X l Preparer's Name* Preapprorred by EOID H?* Yes Preparee's Title* Accounting Technici Use of travel card to fill a rental vehicle gas tank prior to Its return is recommended. A OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* ------------- Conne Guerro Therapy 1/9/2025 Out of State Travel Ile Departure Date* Return Date* Grant* Fund/Dept* 3/29/2025 4/4/2025 Yes ARPA 051.00 AM 11:45 PM AAW 110 Destination (City,, Countyjr State)* Purpose of Travel* Columbus, Franklin, OH American Association of Suicidology 58th Annual Cc reference Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required --------------- $131.00 $234.00 Conference Rate No Ne lei /01 Hotel Total* Conference Fee* Daily MME at Rental Car Cost per $1 ,649.70 $1 ,249.00 --- Destination* day* $80.00 $0.00 41* 1 1 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* No GSA rate rooms available. Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* United $767 $4,240.20 Proparer's Name* Preapproved by EO/DH 70* Yes ON Preparer's Title* Accounting Technician Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. A RECEIVED DEC 13 2024 RENEW Grant Grant Behavlorof Healbh a Wellness Must attach training information including agenda, start and end times and meet information. Forms missing any of the required information wiII.l be returned for completion. Attfietds must be filled in completely, 171 In -State Training X Out -of -State Training r_1 Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Emptoyee Name: Bethany Escamilla Training Name: AAS 25 Annual Conference Today's Date: 12/13/24 Location: Columbus, OH Dates of training: . March 30 - April 4, 2025 Departing Date: Marchl,4, 2025 Returning Date: April 5, 2025 Departing Tirye: N/A W1 Returning Time: NIA Registration Cost: $11249 Hotel: ® Yes 11 No Are there any room blocks for this training at a specific hotel? Hilton Columbus Downtown Transportation: 0 Personal Car X Company Car (If requesting to take personal car, direct supervisor signature is required betow) Airfare., ® Yes 0 No Flight / airport preferences? Spokane, Tri Cities, or Wenatchee. Flight departure no earlier than 8 am if possible due to travel We. How wilt this training add value to the organization? By attending this conference I will have the opportunity to learn about recent advancements in in the study of suicidology. I will bring what I learn back to the Grant County Suicide Prevention Taskforce to help in the planning and implementation of suicide prevention goals, TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: 9 Yes 0 No Direct Supervisor Signature: ra4r Personal Car Approval: Direct Supervisor Signature: El Yes 11 No Executive Staff Approvait: X Yes F1 No Executive Staff Signature: �at ��,�o��:�&PSG; Funding Source: 9000 — Ayifpe Date: 12/12 Datia: Date: 12/13/24 RECEIVED 0 DEC 3 9 2024 renew RENEW Grant Behavloral Heoft a Wellness *+#+ Must attach training information including agenda,, start and end times and meat information. *+++ Forms missing any of the required information will be returned for completion. v* AtLfietds must be fitted in completely. 0 In -State Training 9 Out -of -State Training (Must be received 30-days In advance) (Must be received 90-days in advance) a., g^pra 6"errero Employee Name: Conn.e_.%_J"%;_F1 Training Name: AAS Annual Conference Dates of training: March 30- April 4, 2025 Departing Date: March 29, 2025 Departing Time: Registration Cost: 1124 El Webinar Today's Date: 12/18/24 Location: Returning Date,, April 4th, 2025 Retu rning Ti me: 41 Hotel& 9 Yes ONo Are there any room blocks for this training at a specific hotel? Hilton Columbus Downtown Transportation: E Personal Car 00 Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare: 19 Yes 11 No FLight / airport preferences? Flow will this training add value to the organization? Assist Outreach team and supporting in suicide prevention work in the branch locations. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: R 1-Y., -0 S DNo Direct Supervisor Signature Personal Car Approval: 11 Yes 0 No Direct Supervisor Signature: Executive Staff Approval: Z_ yes El N Executive Staff Signature: Funding Source: qai0-1n Date: / 4:?,/ Date: DateJP - 12 — R � 1k A N fm 58'"ANNUAL CONFERENCE COLUMBUS, OHIO MARCH 30-APRIL 4, 2025 Registration now openl There are four. (4) types of registration types, There are member and non-member pricing, 1. Training & Certification Days: Sunday, Monday & Tuesday - Training & Certification Days are on Sunday and Monday. Two full days featuring multiple training and certification courses. Take advantage of this great opportunity and sign up for more than one course as long as they are not offered at the same time. Tuesday is Symposia Day and is included in Training & Certification Days registration. 2. Conference: Tuesday - Friday - The Conference begins with Symposia Day on Tuesday, and continues through Friday with various workshops, networking, exhibits, Annual Awards celebration, and receptions, and ends on Friday with the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS). 3. Healing After Suicide Loss Summit (HASLS): Friday is the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS) and included in Conference registration. If you are not attending the Conference, you may also register for the HASLS separately to.aftend in person. I 4. World Pass: Includes Sunday - Friday. A great package deal to take advantage of! Early Bird Rate through February 12, 20253 11:59 PIVI EST - - ---------------- Early Bird Registration Member Price Non -Member Price Training & Certification Days $649 $799 lConference $699 $829 World Pass $1,124 $1,249 Healing After Suicide Loss Summit $75 $75 (HASLS) Regular Rate starting February 13, 2025,12:00 AM EST Regular Registration Member Price Non -Member Price Training & Certification Days $699 $849 Conference $749 $879 World Pass $1,175 $1,299 Healing After Suicide Loss Summit $100 $100 (HASLS) What meals are provided? Coffee Oral Breakfast Lunch S u n d ay, March 301'- Mond y, March 31" Tuesd3y, April I Wed n esday, Apnit 2""j Thursday. ApriL 3" Friday, Aprit 4tt- View dining options inside the hotel here. View additional dining options in the area here. Questions? Contact conference@suicidology.org. 1 � � L M1 AW, 1k AN What are the different registration options? 58T" ANNUAL CONFERENCE COLUMBUS, OHIO MARCH 30-APRIL 4, 2025 There are your (4) types of registration types. There are member and non-member pricing. 1. Training & Certification Days: Sunday, Monday & Tuesday - Training & Certification Days are on Sunday and Monday. Two full days featuring multiple training and certification courses. Take advantage of this great opportunity and sign up for more than one course as long as they are not offered at the same time. Tuesday is Symposia Day and is included in Training & Certification Days registration. I conference: Tuesday - Friday - The Conference begins with Symposia Day on Tuesday, and continues through Friday with various workshops, networking, exhibits, Annual Awards celebration, and receptions, and ends on Friday with the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HASLS). 3. Healing After Suicide Loss Summit (HASLS): Friday is the Walk Together for Healing and Hope, and the Healing After Suicide Loss Summit (HA L) and included in Conference registration. If you are not attending the Conference, you may also register for the HASLS separately to attend in person. 4, World Pass: includes Sunday - Friday. A great package deal to take advantage of! When does registration open? AAS24 registration will open in mid -December 2025. How do I receive member registration pricing? To receive the member price, the registration platform will validate your email address when registering. You must register using the email address that is associated with your AA S membership. If you choose to become an AAS member it can take 24 business hours to approve the membership, and must be completed before purchasing an AAS26 registration to ensure you receive the member ratei, To become an AA S member, go here. Are early bird discounts available? Yes, if registration is completed by February 12, 2025, 11:59 PM EST. Is there a student discount? Yes, please contact conference@suicidology.org before registering to ask about the student discount. Is there a military, veteran, or first responder discount? Yes, please contact conference@su*tcidol.ogy.org before registering to ask about the military, veteran, or first responder discount. What meals are provided? Coffee Oreake Brealphat Lunch -6y., M, o rob 3011 unFszo.alv **NW&"MVAe Mondoy, Kalt-11:31V- Tuoadaypelt 1 ------------ FAX W-9 d n:o a day April, 2"- Thursday, Aprlk V-0 radny, Awlt 4th ........... ............. ........................... ...................................... View dining options inside the hotel here. View additional dining options in the area here. Where do I go to check in onsite? Check for updates in the schedule to see when check-in/registration will be open and for the location. Is there a preferred accommodation I can book? Yes, AAS25 will take place at the Hilton Columbus Downtown. AA S has secured a discounted room block at the hotel. Hotel reservations will open in January 2025, The discounted rate of $234+ is valid until Sunday, March 9, 2025, or until rooms sell out. Hilton Columbus Downtown 402 North High Street Columbus, Ohio 43215 Can I get a refund if I am unable to attend? - Registration cancellation on or before February 28, 20257 is refundable although subject to a $100 administrative fee. - Registration cancellation after February 28, 2025, but before March 21, 2025, will receive a refund of 50% of the total registration cost. - Registration cancellation on or after March 21, 2025, will not receive a refund. - There is no refund for the cancellation of Training & Certification Days as space is reserved for you at the time of booking and classes are first come first serve. - The refund and cancellation policy will not be waived. - Registration fees may be transferred to another registering individual for the 2025 Annual Conference. Transferred fees must be requested at the time of cancellation. Fees may not be transferred after the cancellation has been completed and any refund (if applicable based on the dates indicated above) has been processed. Transfers must also be completed before March 1, 2025, by contacting conference@su'['c"idology.org. - Refunds will be issued in the same payment method as they were made. I am unable to pay by credit card. Is there an alternate payment method? Yes, when registering, you will be able to select an invoice as an option so you can pay with an alternate payment method. Payment in full is required to attend the conference before March 26, 2025, otherwise, the registration is subject to cancellation which may incur fees associated. I have special accessibility needs/dietary requirements; can you accommodate me? Yes, during the registration process, we will seek information from you regarding dietary restrictions and accessibility needs. Where can I find information about the event agenda and schedule? Information on the agenda and schedule will be available at a later date. Questions? Contact conforence@suicidology.org AAS25 will take place at the Hilton Columbus Downtown. AAS has secured a discounted room block at the hotel of $234+ per night. Reservations must be made by Sunday, March 9, 2025, or while supplies last. Hotel reservations will open in January 2025. Hilton Columbus Downtown 402 N High Street Columbus, Ohio 43215 Phone (856) 380-9591 0 V E " HERE, NNNil Conveniently located Downtown, connected to the Greater Columbus Convention Center, and steps from attractions and entertainment. View dining options inside the hotel here. View additional dining options in the area here. Parking 4. Self-parkingd. $38.00porday Vale pa rk I nq: EV,charging; on -site Securod-. Avallablo covered: Available In/out PrIV111090s; Available Parking details: $elf-parklngvla Tower 401. EV charge frorri valet Questions? Contact conference@suicidology.org Airports What's nearby John Glenn Columbus 4 8 miles city contan I mile International Airport German Village: 1.50 Mlles Airportsbuttle Huntington Park; 0.25 Was X Not available Rickenbacker International 17 miles NationwWeArenx 0.10 miles Airport Nortb Market: 0, 10 miles Airport shuttle Ohl o State Unlyorsityol 2 miles X Not available