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Home My WebLink AboutOut of State Travel Request - RenewG ,A T 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: EYES F10 NO DATE. // 5 PHONE: (599) 755-=9239 ext; 5353 ElAgreement / Contract EIAP Touchers E Appointment 1 Reappointment EIARPA Related f 1 Bids l RFPs l Quotes Award 013id Opening Scheduled El Boards 1 Committees E Budget El Computer Related DCounty Code lEmergency Purchase El Employee Rel. ElFacilities Related E]Financial ElFunds 0Hearing Invoices I Purchase Orders ElGrants -- Fed/State/COLinty Leases 0IVIOA l MOU ElMinutes Ordinances Out of State Travel petty Gash O policies E'j Proclamations 1 rt Request for purchase 11 Resolution DRecommendation 01Professional Serv/Consultant OiSupport Letter ElSurplus Req. Tax Levies I]Thank You's ; Tax Title Property l `WSLCB 00-5 Out-of-state travel request for Quincy Coalition (Jessica Alcaraz, Maria Valla Plazol , Enrique Hernandez) opvppv�~o�' Montana Summer Institute - June 1 - , Q -� Big Sky, NIT - Estimated Cost $14,059.00 oo u n `1/i n g 4 City of Quincy 1 0 4 5 0 3 . 9 0 6 z 5 6 y"rs" s. 1 f nec s>sar' , was this document reviewed accounting? F� YES E P1 H El NO =i NA f necesscallry, was this document reviewed legal? C.1 YES F NO 9 N/A DATE OF ACTION--,--- APPROVE: DENIED ABSTAIN D 1 . I..d 3. 4f 2 3C 24 DEFERRED OR CONTINUED TO; OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept/Commilttee* Date of Request* Travel Type* Jessica, Maria & dose Quincy Coalition 3/6/2025 Out of State Travel Departure Date* Return Date* Grant* Fund/Dept* 6/1 =7/2O2L5wwj 16/2012025 Yes City Of QUirICY 11:00 AM =.4*5 PM Destination (Cityl Countyr State)* Purpose of Travel* Big Sky, MT 2C25 Montana Summer Institute Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required ........... %AW $310.00 $260.00 Conference Rate No Hotel Total* Conference Fee* - ------------ $1 P 154.32 $1,195.00 I Daily M&IE at Rental Car Cost per Destination* day* $80 $0,00 X1 Explanation for Rate (required if hotel cost is greater than per dlem,, or government rate)* N/A Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* Alaska $534.00 $10,331.28 Preparer's Name* Preapproved by EOIDH?* Yes V Preparer's Title* Accounting Tech Use of travel card to fill a rental vehicle gas tank prior to its return is recommended, OUT OF STATE TRAVEL REQUEST APPLICATION Traveler's Name* Dept[Committee* Date of Request* Travel Type* of Enrique Hernandez Quincy Coalition 3 E/6 12 :02- 5 Out State Travel lel Departure Date* Return Date* Grant* Fund/Dept* E6/ 15122025 6/21/2025 Yes City of Quincy j 08:00 AM 11:45 PM Destination (City,, County,, State)* Purpose of Travel* Big Sky, MT 2025 Montana Summer Institute Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required $310.00 $260.00 Conference Rate No Hotel Total* Conference Fee* Daily MWE at Rental Car Cost per $1 r374.32 $1,195.00 Destination* day* $80 $0.00 Explanation for Rate (required If hotel cost is greater than per diern, or government rate)* NIA Air Carrier* Cost of Flight* Total trip cost (include all cost totals)* N/A $0.00 $3,727.72 A Preparer's Name* Preapproved by EO/DH?* Yes kl% Preparer's Title* AcCOUnting Tech Use of travel card to fill a rental vehicle gas tank prior to its return is recommended. 14 RECEIVED ':7EB 2 7 2025 renew RENEW Cr ont 8ehoviQrQ1 Heotth 6 Wellness Must attach training information including agenda, start and end times and meat information. 0 Forms missing any of the required information will be returned for completion. All fields must be filled in completely. 0 In -State Training W1 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Crystal Cruz Training Name: Montana Summer Institute Dates of training: June 17-20, 2025 Departing Date: June 16, 2025 Departing Time: Registration Cost: $1,195 each R Webinar Today's Date: 02/24/2025 Location: BIG SKY, MONTANA Returning Date: June 20, 2025 Returning Time: Hotel: A Yes 0 No 1,9 sky Resort ) 15 Call (80048-4486. Mention Montana Summer Institute Are there any room bLocks for this training at a specific hotel? Transportation: A Personal Car 11 Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare: A Yes F-1 No Flight / airport preferences? Wenatchee, WA - Shortest flight times; Please do not book flights before 6:00am - -- ------ - ...... How will, this training add value to the organization? 0 The Montana Summer Institute will equip coalition members (Enrique Hernandez, Jose Rodriguez, Jessica Alcaraz, and Maria Valle) with evidence -based strategies to promote positive behaviors and strengthen prevention efforts. This training will enhance messaging, community engagement, and long-term impact for the Quincy coalition. Estimated Cost: C, I i () L-0- Funding Source:--, Training Approved: Yes ` 'No Direct Supervisor Signature: Date: Personal Car Approval: Direct Supervisor Signature: 0 Ye s El No Date: Executive Staff Approval: El Ye 1:1 No Executive Staff Signature: Date: VV -j" 0 lwl renewGrfanL Behovioral Hoolth 8 Wellness PREVENTION - FIELD TRIP CHECKLIST This form is required to ensure all important information is readily available for staff organizing a coalition field trip. COALITION: Quincy Partnership for Youth TRAINING/TRIP NAME: 2025 Montana Summer Institute TRAVEL DATES: June 14-20,2025 # OF HOTEL ROOMS- Four FUNDING CODE DESIGNATIONS a Flights: CoQ (9064) W Mileage: CoQ (9064) ATTENDEE INFORMATION: DATE SUBMITTED: 02/24/2025 TRAINING LOCATION: Big Skv, Montana CHAPERONE NAME: Za ® Hotel-, CoQ (9064) Registration: CoQ (9064) 0 Per Diem: CoQ (9064) # FULL NAME PHONE NUMBER DATE OF BIRTH CONSENT FORM W9 I Jessica Alcaraz 209-485-8724 12/16/1995 n/a 2 Maria Virgen Valla Plazola 509-398-1814 08/22/1987 n/a 3 Jose Manuel Rodriguez 509-312-0180 12/13/1989 n/a 4 Enrique Hernandez 509-237-3446 03/25/1989 n/a 5 6 7 8 9 PROCESS STEPS: Submit travel requests, checklist, and supporting documentation like an agenda. Ensure all participants submit consent form and W9 at least 30 days (in -state) or 60 days (out- of-state) prior trip. Once approved, register attendees and coordinate with the Accounting Technician for other travel arrangements. Communicate regularly with all parties to ensure full participation and prevent delays. Page 1 of I The 2025 Mon'tana.56kh, t14NTANA Reimaglninl- . • . Hidden Factors IN��TITt,JT� I • Agenda: I ' June 17, 2025: Spirit June 18, 2025: Science 'June 19, 2025: Action June 20, 202S: Return Reimagining Community Health Uncovering Positive Norms Activating Hidden Protective Factors Building Positive Cultures 7:30 Event Registration & 7:30 Yoga in the Dunr•aven/Obsidian Roam (7:30-8:1S) 7:30 Breakfast in the Lower Atrium (7:30- Breakfast in the (.uw r A-riur-1 Breakfast ir. J-.e Lower Atrium (7:30-9.0+3) 9:00) (7:30-9:00) A Peace of My Mind Studio in the Lake/Canyon Rood (8:00-9:00) 9:00 Opening Blessing & Land 9:00 Connection & Welcome 9:00 Connection & Welcome 9:00 A Peace of My Mind Studio Acknowledgement Highlight Reel Jason Anderson, Senior Trainer, Jerson Anderson, Senior Trainer, Saone Doyle, Ed. C. The Montano Institute The Montana institute John Noltner, Founder, A Peace of My Mind 9:15 Reimagining Community Health: 9:15 Norms: Hoer We Got Here & 9:15 "Salute the Sample". Working with 9:15 Reimagining What's Possible: Applying Uncovering Positive Norms & Where We're Going the Data You Have The Science of the Positive & Positive Activating Hidden Protective Community Norms in Your Work Factors Jerson Kilmer, Ph.D., Professor of Jason Kilmer, Ph.D., Professor of Psychiatry & Behavioral Sciences Psychiatry & Behavioral Sciences at Real-time Technical Assistance with Jeff Linkenbach, Ed.D, Founding at the University of 1rL'oshingtan the university of Washington The Montana Institute Team Director & Research Scientist School of Medicine School of Medicine The Montana Institute 10:00 The 2025 Montana Institute Awards 10:15 Break & Hotel Check -Out (10:15--10:45) 10:45 Break (10:45-11:00) 10:15 Break (10:15-10.30) 10:30 Break (10:30-10:45) 11:00 The Dynamic Quo for Primary 10.30 Honoring Diverse Voices: 10:45 Applying Positive Community 10:45 Return: Reflection, Discussion, & Next Prevention: Positive Community Grounding Positive Community Norms to Injury & Violence Steps Norms & Positive Childhood Norms in Culturally Responsive Prevention Experiences & Trauma informed Jason Anderson, Senior Trainer Frameworks Serra Thompson, Director of The Montana Institute Carla Ritz, Managing Director, Training and Communicrations, The Montana Institute Stacey Diane Arahez Litsrn, The Montana Institute Ph.D, LPM, NCC, t.CMHC, Associate Professor, Cleveland State University Morning Sessions and Livestrearn end at Moon The 2025 Montana Summer Institute Reimagining Community Health: Uncovering Positive Norms And & Activating Hidden Protective Factors I�15TITU T � Afternoon Agenda: Onsite Only June 17, 2025: Spirit June 18, 2025: Science June 19, 2025: Action June 20, 2025: Return Reimagining Community Health Uncovering Positive Norms Activating Hidden Prott�ctive Factors Building Positive Cultures 12:00 Lunch in the Huntley Dining Lunch in the Huntley DinintT R.,om Boxed Lunches for the road. Room Happy Trailsl A Peace of My Mind Studio in the Lake/Canyon Roos, Lunchtime discussion for military preventionists (location TBD) 1:30 Why It's Never Too Late. to Hope and Concern: Navigating Difficult Workshop TBA Have a Happy Childhood: Dialogues with Diverse Stakeholders Cultivating positive emotional memories and advancing the Stacey Diane Arafiez Litam, Ph.D., LPCCs, science of HOPE (Health NrCC, CCMHC, associate Professor, Outcomes from Positive Cleveland State University Experiences) Carla Ritz, Managing Director, John Sommers-Flaraagon. Ph,D., The Montana Institute Professor of Counseling, The University of Montana & .Sara Thompson, Director of Training and Director of the Montana Communications, The Montana Institute Happiness Project Jeff Linkenhach, Ed.f?, Founding Director & Research Scientist, The Montana Institute 3:15 Evaluation & Reflection (3:15-3:30) 3:30 A Peace of My Mind Studio in the Lake/Canyon Room (3:30-4:30) Learn more at . . mop: - THE " MONTANA INSTITUTE • ,� ill I.. .. •! THE r�� . M.ONTAN-A,.- F2c'SxFcTarvt Cg.•.r . IN.STITUTE ' � � `U�`a:\ne..:.rrr�v`�•'•`:\SAS � �".f,'••.�Stl`��...ii'.�ia1-:��'-�.:i_.C�li•atir: . YT-11i" X 1 '*}' r l 1 l "W6::a- • ,. 7 F R `4?"_ ' TJ -i .5 IF,fW E1 -M^ , -0`7 1 HI • '4Y'- l -TI Ea�I i K AND THE PEOPLE YOU SERVE ee and a half transformative days gh thought -provoking keynotes, 111 explore Innovative strategies that .s, -if . y untapped opportunities, and craft impactful communications that drive meaningful change. With insights from leading experts and experienced practitioners, you'll gain practical tools to reimagine your approach to data, messaging, and the people you serve all through a positive, effective frame. Don't miss this opportunity to expand your expertise, deepen your impact, and shape healthier, more resilient communities. AGENDA . INSPIRING KEYNOTES INTERACTIVE WORKSHOPS IMPACTFUL CONVERSATIOWS F01U*W0'0NS OF RESEARCH TICE PRE -INSTITUTE Onsite In ft Sky, Martana ONSITE REGISTRATION INCLUDES, Onsite participation in all event sessions 9 Breakfast & lunch on all event days Continuing Education Credits from the University of Montana Foundations of Research & Practice pre -institute webinar 0 Onsite FALs Registration Fee: $11195 ONLINE REGISTRATION INCLUDES: P Livestream access to morning keynotes • Choose between real time & recorded attendance Continuing Education Credits from the University of Montana • Foundations of Research & Practice pre -institute webinar -v Online FAQs Registration Fee: $425 REGISTER NOW