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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 Anderson CONFIDENTIAL INFORMATION: DYES W_ N 0 DATE: 4/24/25 PHONE: (509) 765-9239 ext: 5353 AW221 I 11111=111111W OAgreement / Contrast DAP Vouchers I I 771Appointment f Reappointment DARPA Related Bids / RFPs / Quotes Award Ei-Bid Opening Scheduled 0 Boards / Committees OBud get 10 Computer Related DCounty Code 01 Emergency Purchase 10 Employee Rel. ElFacilities Related []Financial '[] Funds 0Hearing 17 Invoices / Purchase Orders 01Grants — Fed/State/County 1:]Leases 0 MOA / MU 0 Minutes 00rdinances EW Out of State Travel 01 Petty Cash El Policies E-1i Proclamations El Request for Purchase 10 Resolution 0 Recommendation El Professional Serv/Consultant C] Support Letter OSurplus Req, Tax Levies DThank You's 71Tax Title Property OWSLCB N Liz *3 1 A gxu* if a] I 1 141 �=:l Z I 07!l. M Out-of-state travel request for Crystal Cruz, Alfredo Aguilar & Christopher Kling CADCA Mid -Year / Nashville, TN / July 19-25, 2025 / Estimated Cost: $3,147.15 / person Funding--. COQ 108.150.00.9064.566.51.xxxx / G F Quincy 0 If necessary, was this document reviewed by accounting? YES 11 LIM tur rE!V[E!W E ENO _*_' NA If necessary, was this document reviewed by legal D YES 11 N 0 N/A -------------- M I DATE OF ACTION: _�.�,5� APPROVE- DENIED ABSTAIN .P DI: D2: D3: 4/23/24 DEFERRED OR CONTINUED TO., Out of State Travel Request Application DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the following week's Consent Agenda. C, , Aiftr�do Aguilar Christopher Traveter's NameCrystal Cruz (s): [__1Department/Office:1 Quincy Partnership for Youth Purpose of Travel: Destination: CADCA Mid -Year Training Institute Nashville, TN Dates of Travel: 7/19/25 to 7/25/25 I7,773.45 Total Trip Cost Estimate, $ (This tine v0111 auto -sum the costs listed below) ITravel Type (Select One): Q Out of State Travel Q Out CONUS Travel (AK, HI or US Territory) Q Foreign Travel Q Extradition Fund Number/Department: COQ 108.150.00.9064.566.51.xxxx / GFS Quincy Grant Funded? If Yes, List Grant Amount: Cost Application (Select One): M Yes $ 2,235. E] Government Rate 0 No Conference Rate Regular Rate Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Total: S 217.00 210-00 Explanation for Rate: Re-qWred if hotel cost is greater than per diem orgovernmef-it ra N/A Rental Car Required? If Yes, Rental Car Cost: 0 Yes a No Air Carrier. Cost of Flight: 1,740.00 Alaska Airlines Fs— I Preparer's Name/Title: Anna Serrano /Accounting Technician 4,356.45 Conference Fee: $ 2,235-00 Total Estimate of IVII&E During Travel-. $ 1,677.00 Preapproved by EO/DH? 0 Yes 0 Na Additional Expenses: (Addt"I costs for extended stays, flight upgrades.. etc. at the expense of the traveler) If Yes, EO/DH Name: Dell Anderson ECEIVED renewGfvnt &*Niviorol Hoolth 8 Welinvo or* #* 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. D In -State Training ILA Out -of -State Training 1:1 Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Crystal Cruz Training Name: CADCA Mid -Year Training Institute Dates of training: 07/20/2025-07/24/2025 Departing Date: 07/19/2025 De pa rti ng Ti me:.6:00 am Registration Cost: $2,235 ($745 each adult) Hotel: 1W Yes E]. No Today's Date* 04/07/2025 Location: Nashville, TN Returning Date: 07/25/2025 returning Tire: 7:00am - Are there any room blocks for this training at a specific hotel? Yes, at" the Gaylord Opryland Resort & Convention Center Transportation: 10i Personal Car El Company Car (if requesting to take personal car, direct supervisor signature is required below) 0� Airfare: 9 Yes 0 No Flight airport preferences? East Wenatchee, WA -Please do not include travel time between 12:00 am through 5:00 am How witt this training add value to the organization? Attending CADCA Mid -Year provides the coordinator and coalition members with hands-on training, tools, and strategies to strengthen local prevention efforts. It builds leadership skills, boosts engagement, and connects our team to a national network of prevention leaders. Participants return with the latest science, renewed motivation, and actionable steps to create lasting change in our projects and programs. Attendees-.* Crystal Cruz (Coalition Coordinator), Alfredo Aguilar, and Dylan Kling (Coalition Members) TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: es Direct Supervisor Signature: L'r Personal Car Approval: V,-%s 11, No k Direct Supervisor Signature., A. Executive Staff Approval: 0 Yes r_1 No Yes Executive Staff Signature: Date: -71LY- - Date:_ Date: renewGcont ftehov;*ro! Heolth 6 Weltness PREVENTION - FIELD TRIP CHECKLIST This form. is required to ensure all important information is readily available for staff organizing a coalition field trip. COALITION: Quin-cy Partnership --for Youth DATE SUBMITTED: 04107Z2025 TRAINING/TRIP NAME: CADCA Mid -Year Training Institute TRAVEL DATES: 07Zl9Z2025-07/25Z 025 TRAINING LOCATION: Nashville, # OF HOTEL ROOMS: 3 CHAPERONE NAME: FUNDING CODE DESIGNATIONS • Flights: cod. a Hotel: CoQ Registration*. GFS (it'�if I I • Mileage: N Per Diem: ATTENDEE INFORMATION: # FULL NAME PHONE NUMBER DATE OF BIRTH CONSENT FORM W9 Crystal Cruz 599-797-5 4 t 10/24/1992 2 Alfredo Aguilar -Robles 509-398-2875 11/04/1996 3 4 Christopher Dylan Kling 509-398-7282 11 04/16/1991 5 6 - -- -------- 7 T 9 - -- -- - ------------ 10 PROCESS STEPS, Submit travel requests, checklist, and supporting documentation like an agenda. 60 Ensure all participants submit consent form and W9 at least 30 days (in -state) or 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 1 24th Annual MID -YEAR Training Institute July 20-24, 20251 Gaylord Opryland Nashville, TN Join us for CADCXs 24th Annual Kfid-Year Training Institute, where professionals from across the substance use prevention feed come together for four days of hands-on workshops, insights from experts, and networking opportunitiest This event brings together industry 0 leaders, master trainers, coalition members, and CADCA staff to share the latest cutting -edge strategies, best practices, and innovative solutions to common challenges. Des-i-orw ned for seasoned professionals and necomers alike, this event offers a chance to expand your knowledge, add to your skillset. and ?n col"aborate with like-minded peers. You'll leave with practical toots and fresh ideas to help drive change in your cornmenunity, We took forward to seeing you in Nashville,' CA'D C A f 0 Sunday, July 420, 4:00 PM - 7 ;00 PM RecTistration Open 5:00 PM - 6:30 PM Welcome Reception, Table -Top Disptays, & CADCA Comer Open Monday,, Jul ' 21 7:00 Am - 4:00 P%11 Registration, Iable--Fop Displays, & CADCA Comer Open 7:3 0 A N-4 - 9.15 AM Networkino Continental Breakfast 8:3 0 AM - 10, 00 AM Adult Opening Plenary 8 :' )0 AM - 10:00 AM Youth Opening Plenarxv 10:3 0 AM - 12 : 0 0 1) kl Adult Trainingir Sessions & HOSA Presentations 1:00 P%.J -.2"..00 PM Lunch 01-1 N"OL11- ON-Vtl -00 PM - 3`0 PM Adult & Youth Tra'n*ng Sessions 10 PM - 4:00 PM Network-Ing Refreshment Break 4: 0 0 P M - 5).- 3 0 PM Adult & YOUth Training Sessions 8:00 PM - 10:00 PM 'Y'Outh Meet -tip & C11111 Tuesday, July 7:'_ 0 AM - 8: 15 AM Networking Continental Breakfast 7:30 AM - 4:00 P Zisration Table -top Displays'I &CADCA Comer Open 8:30 AM - 12:00 PM Adult and Youth Training Sessions 10:00 AM - 10:30 AM Networking Refreshment Break 12..-00 PM - 1-130 PM Lutich on Your Own 1:3 )0 M. - 5:00 PM Adult and Youth Trainincr Sessions 3:00 PM -'330 PM Networking Refreshment Break Wednesday, July 23 7:'0 AM - 8: 1 AM Networking Cominental Breakfast 7:30 Am - 4-00 PM Reunstnation. Table -top Displays, & CADCA Comer Open 8:30 AM - 12:00 PM Adlt -And Youth Training Sessions 10:00 AM - 1030 AM Network 1 n ill Refreshment Break 12:00 PM - 1:30 PM Lunch on Your Own 1:30 PM - 5.-00 PM Adult & Youth Training Sessions 3:00 PM - 330 PM Networking Refreshment Break 8:00 PM - 10:00 PM Youth Talent Show Thursday, July 24 730 AM - 8-4 15 AM Networking Continental Breakfast 8-3)0 AM - 12:00 PM Adult & Youth Training Sessions .3) ) 0 AM - 12: 00 PM Registration, Table -top Displays, & CADCA Comer Open