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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 AnCIeI'SOn CONFIDENTIAL INFORMATION: ❑YES BNO DATE: 1/3oiz5 PHONE: (509) 765-9239 URI ALI:,:l HA ❑Agreement ! Contract DAP Vouchers ❑Appointment / Reappointment DARPA Related ❑Bids / RFPs f {quotes Award DBid Opening Scheduled ❑Boards / Committees ❑Budget ❑Computer Related El County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related []Financial ❑ Funds ❑Flearing ❑ Invoices / Purchase Orders ❑Grants — Fed/State/County ❑.eases ❑ MOA l MOU ❑Minutes ❑ordinances Bout of state Travel ❑Petty Cash ❑ Policies ❑Proclamations ❑ Request for Purchase d Resolution ❑Recommendation []Professional Serv/Consultant ❑Support Letter ❑Surplus Req. []Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB m11 0"N 19 Le *-ft.1 1 a Eam"la I A % Out-of-state travel request for Gale Weaver, ASAM Annual Conference. Denver, CO - April 24-27, 2025 Estimated Cost $3,193.54 / Funding:1108.156.60.6606.566.66.xxxx (SUD) If necessary, was this document reviewed by accounting? ❑ YES ❑ No C� N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO B N/A 2 DATE OF ACTION:. jr— APPROVE: DENIED ABSTAIN D1: D2: D3: 4123124 DEFERRED OR CONTINUED TO: OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Dale Weaver Renew =1/30/2CO25 lei ............. lei Departure Date* Return Date* Grant* 4/24/2026 4128/2025 No 1 03:00 AM 02:00 AM Destination (City,, County,, State)* Purpose of Travel* Denver, CO ASAM Annual Conference Travel Type* Out of State Travel Fund/Dept* SUD Ole Hotel - GSA Rate* Hotel -Nightly Rate* Cost Application* Rental Car Required :$215.00 $265 Conference Rate Select One -- so lei Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per I Destination* day* $850.00 $15316.00 1W $92.00 $0 4: lei Explanation for Rate (required if hotel costisgreater than per diem, or, overnment rate)* No government rate available. Air Carrier* Cost of Flight* Southwest $417.95 Preparer's Name* Anna Serrano Total trip cost (include all cost totals)* $3,415.75 Preparer's Title* Accounting Technician Preapproved by EO/DH? Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. Yes V RECEIVED 0 0 - i % lift e e UU Grant Behavioral Health & 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. All fields must be filled in completely. El In -State Training IM Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Dale R Weaver, SUDP ----- ------- —1 --- - ------ - --- Training Name: ASAM Annual Conference Dates of training: 04/24/2025 - 04/27/2025 Departing Date: 04/24/2025 Departing Time.6:OOAM Registration Cost.* $ 1315.00 lAN 1 7 20�5 RENEW R Webinar Today's Date: 01 /15/2025 Location: Denver, CO Returning Date: 04/27/2025 Returning Time: 12:00 Midnight Hotel: @E Yes n No Are there any room blocks for this training at a specific hotel? Yes__- Gaylord Rockies, Aurora, CO ----------------------- -------------- ---------------------- --- ___ ---------- _ --- _ ------ --- __ ..... Transportation: A Personal Car 0 Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: 9 Yes 0 No Ftight/ airport preferences? Spokane Southwest, Personal car to/from airport only. How will this training add value to the organization? The new version of the ASAM Criteria continues to be adopted in the SUD field for determining recommendations for levels of care in SUD treatment settings. The ASAM conference will feature sessions on this as well as a myriad of breakouts, educational sessions and plenaries on topics involving substance use, addiction, and addiction medicine. I will share my learning with the SUD department upon my return, as well as personally utilizing it daily. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: $3,100 Funding Source: Training Approved: ZYes DNo Direct Supervisor Signature: Personal Car Approval: F---(Yes F1 No Direct Supervisor Signature: _ ___ _ (�-- � Executive Staff Approval: 20 res nNo i 'X/ Executive Staff Signature: Date:_. Date: .... I. 1�.�/�'5..._ � IvIe- Z� Date:1 /_/ 55 _ I 1/17/26$ 9:04-AM annualconference.es;im.orglaaStatic.asp?SFP=RIZGWIJLU1 RAMTg4N0M&gad_sourca=I &gclld=qwKCAiAnKl8BhBOEiwA58DA4.., Registration Information Registration now open! Online registration must be secured with a valid credit card. We accept Visa, MasterCard, Discover, and American Express. Should you have any questions or require assistance with registration, please contact ASAM at 301.656.3920 or email us at meetings@ASAM.org. ASAM 56th Annual Ccanference Registration. Full Conference j Single Day I Guests & Groups I Pre -Conference Courses Dates &Times: These are the dates and times for the main conference content, Pre -conference courses, regional meetings, special interest group discussions, and some fun and fitness activities occur outside of these times. Please check the full schedule for more information. Pre -Conference Courses take place Thursday, April 24, 2025.1 and are subject to an additional registration fee. • Thursday, April 24, 2025 15#00 pm - 8:00 prn • Friday, April 25, 2025 J 7: 0 am - 7:00 pm • Saturday, April 26, 2025 17:30 am - 5:30 pm • Sunday, April 27,2025 17:30 am - 11:30 am ^ Full Conference Registration What is included? • Three exciting general sessions and 60+ concurrent sessions* • Dynamic Poster Hall with 100+ posters and live presentations from the poster authors Daily breakfast, lunch, refreshment breaks, and networking receptions a Robust Exhibit Hall with relevant and engaging company booths -a Dedicated networking time to build connections with colleagues and new friends *A8 content will be recorded and made available on -demand in the AlASeLearning Center within 2-4 weeks following the live event All full conference registrants will get access to this content until May 23., 2028. https:llannualconference.asam.org/aaStat'ic,asp?SFP;--RIZGWIJLUl RAMTg4NDM&gad_source =I &gclid=CjwKCAiAnKI813hBOr=!wA58DA4Y[sib.gZF7vv. . . 115 1/17/25. 9:04 AM annualconference.asam.org/aaStatic.asp?SFP=RIZGWIJLU1 RAMTg4NDM&gad_source=1 &gdid=CjwKCAiAn Ki8BhBOr.`iwA58DA4... Registration Rates Register before the end of, 2024 to ssave over $150 on registration! Day of on -site registration will increase by $50. Full Conference Registration Rate Description Super Early Bird Early Bird Regular Deadlines Until December 31, 2024 ntill March 10, 2025 Until April 23, 2025 ASAM Member* $755 $815 $915 Non -Member $1,255 $1,315 $17415 Retired Member* $655 $715 $815 Associate Member* $495 $555 $655 Resident Member** $275 $275 $275 Student Member** $195 $195 $195 Guests $225 $225 $225 (*) ASAM Members must be up-to-date on their 2025 dues in order to receive the member registration discount for the 56th Annual Conference. Those who have not paid their dues will be registered as a non- member and charged the non-member rate. (**) Residents, Fellows -in -training, Interns, and Students must join ASAM to receive a discounted registration rate. * Click here to become an ASAM member. * Residents, Fellows -in -training, and Interns are responsible for national and state chapter membership dues. 0 There is no charge for students to become an ASAM Member, but application and verification of student status are required. 0 Membership Question? Call ASAM at 1.301.656.3920, email member@asam.org, or view the ASAM website. XO 0 to Owe nstra Siny..,..e DaV If you are unable to attend the full conference, you can select single -day registration. This registration rate includes entrance to sessions, the exhibit hall, and networking events on only the selected date. Single -day registrants do not qualify for free access to 24/7 on -demand conference recordings in the ASAM eLearning Center. Pre -Conference Courses take place Thursday, April 24, 2025, and are subject to an additional registration fee. is Friday, April 25, 2025* Conference sessions, general sessions, poster sessions, continental breakfast, refreshment breaks, lunch, exhibit hall access, and the evening attendee reception. https://annualconference.asam.org/aaStatic.asp?SFP=RIZGWIJLUl RAMTg4NDM&gad_source=1 &gclid=CjwKCAiAnKi8BhBOEiwA58DA4YIsib-gZF7w. . . 215 1/17/25$ 9:04 AM annualconference-asam-org/a;aStatic.asp?SFP=RIZGWIJLUIRAMTg4NDMgad�source=l &gclid=CjwKCAiAnKiB[3hBOElWA58DA4... * Saturday, April' 26, 2025: Conference sessions, general sessions, poster sessions, continental breakfast, lunch, refreshment breaks, movie night, and exhibit hall access. o Sunday, April 27, 2025: Conference sessions, continental breakfast and refreshment break. Registration Rates Register before the end of 2024 tQ save over $150 on registration I, Day of on -site registration will increase by $50. Rate Description Deadlines ASAM Member* Non -Member Retired Member* Associate Member* Resident Member" Student Member" Guests Single Day Registration Super Early Bird Early Bird Until December 31, 2024 $395 $535 $345 $325 Until March 10, 2025 $495 $635 $445 $425 Other Conference Registration Guest Registration Regular Until April 23,2025 $595 $735 $545 $525 Guest registration is only available for Full Conference registrants. A guest is defined as a spouse, significant other, friend, or an adult child (18 or over) who is NOT in an addiction medicine related occupation. Co-workers or associates in the field may not use the guest registration category. Guest registrations gain access to all ASAM events and activities, except for the pre -conference courses and the el -earning Center. Guests are not eligible to claim CME/Credit. Group Registration ASAM offers group discounts for organizations sending 5 or more attendees. Please reach out to meetingsasam,org to coordinate registration and payment, httpsb.Hannualconference.asarn.org/aaStatio.esp?SFP—RIZGWIJLUl RAMTg4NDM&gadsourc9=I &gelid =qwKCA!AnKi8BhBOElwA68DA4YIsib-gZF7w. . . 3/5 117/259:04 AM annual conference. asam.org/aaStati c.asp? SFP= RIZGWIJ LU I RAlVlTg4NDV&gad_source=i &gclid=C]wKCA!AnKi8Bhl3OEilWA58DA4,,- 1 Pre-Conference course Registration What is included? You may register for one pro -conference course. Both full -day pro -conference offerings take place on: a Thursday, April 24, 202519:00 any -4:30 pm ET Pre -conference courses and workshops are subject to an additional registration fee which includes education sessions, continental breakfast, lunch, and refreshment breaks. Full Day Pre -Conference C7ptions: Sfimulant lase Disorder Course *Separate Registration Required Effectively managing stimulant use disorder requires a comprehensive, patient -centered approach, This course equips healthcare professionals with evidence -based tools to diagnose and treat stimulant use disorder, including harm reduction strategies, behavioral interventions, pharmacological treatments, and the management of acute intoxication, Special considerations for long-term health impacts and co-occurring medical or psychiatric conditions are also addressed, ensuring practitioners are prepared to deliver holistic care across various clinical settings. 2 ASl�M& Pain Addiction" Common Threads Course XXVI *separate Registration Required The ASAM Pain & Addiction: Common Threads Course is one of ASAM's longest -running and most popular courses. This course will develop learners' clinical skills and improve the treatment of patients who fall somewhere in the gray area around pain and addiction, Participants will learn clinical best practices and new research developments affecting treatment and how to integrate these techniques into their practices. This year's course will utilize a dynamic mix of teaching methods including didactic presentations, complex patient Gases, and debates between experts in the field, Registration Rates Reminder., Attendees can only register for one pre -conference course, Rate Description Deadlines ASAM Member* Non -Member Retired Member* Associate Member* Resident Member" Student Member" Pre -Conference Course Registration Super Early Bird Until December 31, 2024 $355 $455 $255 $255 $255 $145 Early Bird Until March 10, 2025 $405 $a05 $305 $305 $255 $145 Regular Until April 23, 2025 $455 $555 $355 $355 $255 $145 https:ilannualconference.asam.org/aaStatic;.asp?SFP=RIZGWIJLU1 RAMTg4NDN4&gad_source=I &gclld=CjwKGAiAnKi8BhBoElwA58DA4YIsib-gZF7w.., 41� I 1/17/25, 9:04 AM annualconference.asam.org/aaStatic.asp?SFP=RIZGWIJLUlRAMTg4NDM&gad sourre=l&gclid=;C]wKCA!AnKi8B[IBOE!vvA581)A4,.. Guests bw U -0- e C ncllat ion Fu iuy Notice of cancellation for the ASAM 56th Annual ConferenGe, a guest registration, or a pre conference activity must be made in writing and sent to refunds@asam.org. Cancellations will not be accepted by telephone. Cancellations received before January I z 2025, will be refunded in full. Cancellations received between January 1, 2025, and March 10, 2025, will incur a $150 administrative fee. No refunds will be provided after March 10, 2025d A refund that results from a cancellation or change to your registration will be returned to the original payer and in the original method of payment, https://annualconforence,asam.org/aaStatic.asp?SFP;:--RIZGWIJLU 1 RAMTg4NDM&gad—source=I &gclid=qwKCA!AnK!8[3hBOElwA58DA4YIsib-gZF7w.. . 5/5