HomeMy WebLinkAboutOut of State Travel Request - RenewGRANT COUNTY i
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: ❑YES WNO
DATE: 2/6/25
PHONE:(509)765-9239
FW 1 LV I
❑Agreement /Contract DAP Vouchers ❑Appointment I Reappointment
DARPA Related
❑Bids / RFPs /Quotes Award CJBid Opening Scheduled OBoards /Committees
❑Budget
OComputer Related 0County Code ❑emergency Purchase
0Employee Rel.
❑Facilities Related El Financial El Funds
El Hearing
El Invoices /Purchase Orders ❑Grants -- Fed/State/County ❑Leases
DMOA / MOU
❑Minutes ❑Ordinances at3ut of State Travel
El Petty Cash
❑Policies El Proclamations ❑Request for Purchase
El Resolution
El Recommendation ❑Professional Serv/Consultant ❑Support Letter
C1Surplus Req.
❑Tax Levies ❑Thank You's ❑Tax Title Property
❑ WSLCB
QL
Out-of-state travel request for Megan Cloyd. West Coast Symposium of Addictive
Disorders I Palm Springs, CA 1 May 28 -June 1, 2025
Estimated Cost $27706.83 / Funding:1 08.1 50.00.0000.566.00.xxxx (SUD)
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO * N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO A NIA
DATE OF ACTION: �11 02�— DEFERRED OR CONTINUED 1'O:
APPRQVE: DENIED ABSTAIN
D1:
Q2:
p3: RECEIVED
6 2025
4/23/2 4
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name* Dept/Committee* Date of Request* Travel Type*
-------- .... ---------
Megan Cloyd Renew 2/6/2025 Out of State Travel
Departure Date* Return Date* Grant* Fund/Dept*
5/2812025 6/ 112025 No SUD
t 01:00a 03:00 PM
lei
Destination (City, County, State)* Purpose of Travel*
Palm Springs, CA West Coast Symposium of Addictive Disorders.
Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required
$141.00 $192.00 Conference Rate No
401
Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per
$960.00 $550.00 Destination* day*
$86.00 $0.00
. .... ....... ----------
Explanation for Rate (required if hotel cost is greater than per diem,, or government rate)*
No government rate available.
Air Carrier* Cost of Flight* Total trip cost (include all cost totals)*
. ..... .........
Delta $503.00 $2,706.68
X
Preparer's Name*
Preapprove d by
EO/DH?*
Yes
V
Preparer's Titlo*
Accounting Technician
Use of travel card to fill a rental vehicle gas tank prior
to its return is recommended.
RECEIVED
0
renew
Grant Behavioral Health 6 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 incompletely.
11 In -State Training A Out -of -State Training
(Must be received 30-days in advance) (Must be received 90-days in advance)
Employee Nam.. -Megan Cloyd
West Coast Symposium of Addictive Disorders
Training Name:
Dates of training: 5/29/2025-5/31/2025
Departing Date: 05128/2025
Departing Time: afternoon
Registration Cost: 550
DEC 1 1 2a2a
RENEW
0 Webinar
Today's Date- 12/10/2024
Location: Palm Springs, CA
Returning Date: 06/01/2025
ReturningTime: morning
Hotel: 9 Yes 0 No La Quinta Resort & Club
Are there any room blocks for this training at a specific hotel?
Transportation: XPersonal Car 0 Company Car
(if requesting to take personal car, direct supervisor signature is required below)
Airfare: X Yes 0 No
Flight / airport preferences? Spokane
How will this training add value to the organization?
I will be able to share the information presented with the team.
Continuing to grow our ability to serve our patients. --- -----------------------
TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY
Estimated Cost: Funding Source:
Training Approved: Yes ONo
Direct Supervisor Signature: Date: I I Ira, L4
Personal Car Approval: Yes DNo
Direct Supervisor Signature: Date:
Executive Staff Approval: E1_Yes N El No
Li
Executive Staff Signature: Date.
May 29 - 311 Palm Springs, CA I
REGISTER NOW
Empowering Change, Encouraging Connection, Embracing
Recovery
`Now in its 16th year, the West Coast Symposium continues to be at the forefront of the
addiction treatment and behavioral health field, providing advanced education and
networking for professionals across the nation, With guidance from top national
experts, this conference empowers you with cutting -edge strategies and
insights, consistently adapting to the ever -evolving landscape of our field. Among a
community of passionate peers, you'll explore new solutions to the critical challenges
we face, while expanding your professional network.
It's time to unite together in the fight against addiction.
Register for 2025
May 29 - 311 Palm Springs, CA I
REGISTER (VOW
National Expert Speakers
Educational Sessions
CME/CE Credits
Thanks to West Coast symposium for having a place where I can get
network with people I can refer to for my clients. There are so may pa
need to fins a place that fits the clients needs,"
- 2024 Attendee
May 29 - 311 Palm Springs, CA
REGISTER NOW
JVIX_o'UL%.JvUI IXIUYII%JUU%JjJ�UJrXVIO
Thomas E. Freese -
Thomas E. Freese (PhR in
Clinical Psychology, California
School of Profes,.,
Eric Garland
Dr, Eric Garland, PhD, LCSW
is Endowed Professor in
Health Sciences at -the ,,
View Full Faculty
L Ti ha Bader
Dr, Bader has worked in the
mental health'and addiction
field for over 20 y.
May 29 - 311 Palm Springs, CA I
OPENING
ENDS
1/24
ENDS
5/31
In Person
Clinical Attendee
REGISTER NOW
SUPER SAVER
ENDS
317
LAST CHANCE
ENDS
512
Start Registration
Includes access to all on -site sessions, features, and activities.
Complimentary daily meals & coffee,
x Hi. Need any help? the Annual West Coast Open golf tournament.
A the Standard Rate',
Lowest rate of the year!
May 29 - 311 Palm Springs, CA j
REGISTER NOW
1"r x 1%%W '"W
V Includes access to all on -site sessions, features, and activities.
V Complimentary daily meals & coffee,
V Invitation to the Annual West Coast Open golf tournament.
*1 Save $250 off the Standard Rate',
Lowest rate of the year!
Student/Resident/ Fellow*
$199
V Includes access to all on -site sessions, features, and activities,
V Complimentary daily meals & coffee.
V Invitation to the Annual West Coast Open golf tournament,
x
Students, residents, and fellows are not eligible to claim CE credit for their
conference attendance,
How Can We Help?
Registration
On -Site
Policies
*,Student/ Resident/ Fellow Pricing
May 29 - 311 Palm Springs, CA I
REGISTER NOW
Cancellation Policy
Cancellation requests for West Coast SymposiLlm rn'ust be received in
writing by completing this form or postmarked by April 29, 2025, Upon
receipt of a compliant cancellation notice, a refund will be issued, less a
cancellation fee of $150,00 (or the full registration amount, whichever is less),
Registrants wishing to cancel may 'instead transfer their registration to
another individual without penalty as long as a written request for
registration transferal, including the replacement individual's name and/or
contact information, is sent by May 28, 20251
Cancellations received after April 29, 2025 will not be refunded. If you do not
cancel in advance, no refund will be issued once the event has concluded,
regardless of your participation in the event or lack thereof.
Credit vouchers may be offered should the program be suspended or
shortened due to conditions or circumstances beyond HMP Global's control,
including, but not limited to, interruptions in Internet services, power
outages, and any cancellations/modifications related to a recognized health
threat as defined by the World Health Organization, the Centers for Disease
Control, or a local government authority or health agency,