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HomeMy WebLinkAboutOut of State Travel Request - New Hope DV/SAGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12.00pm on Thursday) REQUESTING DEPARTMENT: New Hope REQUEST SUBMITTED BY:SUZI FOCI@ CONTACT PERSON ATTENDING ROUNDTABLE: Suzi FOCI@ CONFIDENTIAL INFORMATION: ❑YES ONO DATE:3.4.2025 PHONE:764-8402 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County []Leases ❑ MOA / MOU ❑Minutes ❑Ordinances DOut of State Travel ❑Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB F Out of state travel permission request for New Hope staff: Ana Rivera, Tara Dieng and Paola Gil. Travel is for the End Violence Against Women International Conference April 21-25 in Anaheim California. Training is a requirement of the STOP grant. Total cost is $1,846 per person. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO *1 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: J DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1:: D2: Rt�tq D3: WITHDRAWN: RECEIVED F E B 21 2025 4/23/24 GRANT COUNTY COMMISSIONERS OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Ana Rivera New Hope 2/19/2025 Out of State Travel v Departure Date* Return Date* Grant* Fund/Dept* E4/21/:2025 4/25/2025 Yes New Hope 08:00 AM 06:00 PM 0:0:) 0 :0! Destination (City, County, State)* Purpose of Travel* - --- -- ------- - Anahiem, CA Attending the EVAW1 Conference to meet training reduirements Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required 191.00 191.00 Government Rate Y No Hotel Total* Conference Fee* Daily MME at Rental Car Cost per day* 764.00 695.00 Destination* 0.00 387.00 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* N/A Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)* Delta 339.00 1846.00 Preparer's Name* Preparer's Title* Lead Advocate Preapproved by EO/DH?* Use of travel card to fill a rental vehicle gas tank prior Yes IV to its return is recommended. OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* Tara Dieng New Hope 2 E/1 9 :/2 (0 2 5 Out of State Travel v Departure Date* Return Date* Grant* Fund/Dept* 4/21/20-5 1 4/25/2025 Yes New Hope 08:00 AM E06: 0 :OFP M Destination (City, County, State)* Purpose of Travel* Anahiem, CA Attending the EVAWl Conference to meet training reduirements Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required 191.00 191.00 Government Rate No Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per day* 764.00 695.00 Destination* 0.00 ------------------------------- 387.00 Explanation for Rate (required if hotel cost is treater than per diem, or government rate)* t!5 N/A Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)* Delta 339.00 1846.00 Preparer's Name* Preparer's Title* Lead Advocate Preapproved by EO/DH?* Use of travel card to fill a rental vehicle gas tank prior Yes V to its return is recommended. OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Committee* Date of Request* Travel Type* ----- - -- ----- - ---- ------ ------------ ----- - Paola --- Gil N - ew ---- H - ope 2 E/1 9 :/2:(0 2 5 Out of State Travel v Departure Date* Return Date* Grant* Fund/Dept* -------- --------------------- /20%j Yes 4/25/2025 New Hope E4/21E: 1 1 E08:00 AM 06:00 PM 0:0:) E - 0:01 1 Destination (City, County, State)* Purpose of Travel* Anahiem, CA Attending the EVAW1 Conference to meet training reduirements Hotel - GSA Rate* Hotel -.Nightly Rate* Cost Application* Rental Car Required 191.00 191.00 Government Rate V No Hotel Total* Conference Fee* Daily MME at Rental Car Cost per day* Destination* 764.00 695.00 A50B09&&05§6So6o*6**o*o 0.00 387.00 Explanation for Rate (required if hotel cost is greater than per diem, or government rate)* N/A Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)* --- — ---- - - ---- Delta 339.00 1846.00 Preparer's Name* Preparer's Title* Lead Advocate Preapproved by EO/DH?* Use of travel card to fill a rental vehicle gas tank prior Yes Y to its return is recommended.