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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,