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Home My WebLink AboutOut of State Travel Request - Renew (002)I GRANT 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- OYES Co NO DATE:7/2/25 PHONE. (509) 765-9239 7YPE(S) F DOCUMENTS SUBMITTED: (CHECK ALL THAT APF OAgreement / Contract MAP Vouchers [7- Appointment I Reappointment OARPA Related 0 Bids / RFPs / Quotes Award 013id Opening Scheduled 17 Boards / Committees 0 Budget ElComputer Related El County Code L7-� Emergency Purchase 171 Employee Rel., ElFacilities Related C3 Financial 17Funds 01-learing i Invoices / Purchase Orders F-1, Grants — Fed/State/County 0 Leases CIMOA / MOU ElMinutes [I Ordinances *Out of State Travel E]Pefty Cash ElPolicies [I Proclamations El Request for Purchase 11 Resolution 7 Recommendation [1 Professional Serv/Consultant 1] Support Letter DSurplus Req. DTax Levies ElThank You's E]Tax Title Property OWSLCB M= *3 9:4 sylile g a] I j Ics ;[*] =:I z I em Kyj 00 M- Au'l Mau F"111111111111iiiiiiiii � I III 1=11 Out-of-state travel request for 17 employees (list attached), The Premier Trauma Conference October 7-11, 20251 Estimated Cost $2,917.11 !person for total of $49,590.87 Funding - MH 108.150.00.0000.564.44.xxxx If necessary, was this document reviewed by accounting? 7 YES F-1 NO Fm N/A If necessary, was this document reviewed by legal? 0 YES 0 NO W N/A DATEOFACTION: DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: DZ D3- RECEIVED JUL - 3 2025 4/23/24 GRANT COUNTY COMMISSIONERS 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. ITraveler's Name(s)*. 1 17 employees - list attached I Department/Office:1 Renew Purpose of Travel' The Premier Trauma Therapy Conference Destination: Anaheim,, CA Dates of Travel: October 7-11, 2025 Total Trip Cost Estimate: $ 46,445-87 (This line will auto -sum the costs listed below) 4 I Travet TvDe tSetect One) . Q Out of State Travel Q Out CONUS Travel (AK, HI or US Territory) Q Foreign Travel Q Extradition Fund Number/Department: MH - 108.150.00.0000.564.44.xxxx Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):- 0 Yes ❑ Government Rate No Q Conference Rate F o Regu [a r Rate Hotel - GSA Rate.: Hotel - Nightly Rate: Hotel Total: $191.00 1$285-00 1$22,748.04 Explanation for Rate: Required if hotel cost is greater than per them orgovemment ra No government rate available. 7 Rental Car Required? If Yes, Rental Car Cost: O Yes 0 No Air Carrier: Cost of Flight: 31,85 9.00 Alaska I 0 Preparer's Name/Title, Anna Serrano Conference Fee: 1$13,259.83 1 Total Estimate of MICE During Travel-. $ 6,579.001 Preapproved by EO/DH? Q Yes 0 No Additional Expenses: (Addtl costs for extended stays, flight upgrades, etc. at the expense of the traveler) If Yes, EO/DH Name: Dell Anderson The Premier Trauma Therapy Conference Anaheim, CA October 8-11, 2025 Travel Datest. October 7-11, 2025 1 Tanya Nunez 2 landr Serrano 3 Ambar Pineda 4 Ashley Martinez 5 Kerb Skjervotd 6 Brooke Richardson 7 Irene Garza 8 Corina Camacho, 9 Gonna Guerrero 10 Indelisa SaLinas 11 Sandra Drapeau 12 Patrick Drapeau 13 Tanner on 14 lain a Escamitta 15 Sonia Fernandez 16 Dalia Casitlas 17 Danielle O'Brien FR E C E I V E D I renew .;ir7cnt sohovioral Heofth & U,*flpess 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. El In -State Training W Out -of -State Training (Must be received 0-days in advance ) (Must be rerCeived 0-days in advance) Employee Name: Tanya Nunez Training Name: The premier Trauma Therapy Conference Dates of training: 10/08/2025-10/11J/2025 Departing Date: 1010T12025 Departing Time: Registration Cost: $679_99 JUN 2 7 2025 1] Webinar Today's Date- 051,16/2025 Location. Anaheim, CA Returning Date: - 10/1 C2025 ReturningTime: Hotel: IF Yes I No Are there any room blocks for this training at a specific hotel? Anaheim Marriott-____ Transportation: [I Personal Car A.- Company Car if requesting to take personal car, direct supervisor signature is required below) Ai rf a re: 9 Yes 11 No Flight/ airport preferences?, Spokane, WA How will this training add value to the organization? i- vvoolf� -fvv, ovoomflliu =3 J 1�u1d � Woo"-lq 4a44I l -1Snu.�b4 1 (4f?nnL& v_+� a.��a ��w. _� -- ___ I�,t�Er �rY90Pi2�Cfic,�SYWiv�asI II 7 o r4— TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: F u n d i n g S o u rc e --lb Training Approved: [Yes El JNO Direct Supervisor Signature: lt�_ ---- ------ ------ -- Personal Car Approval: El Yes ; 40 Direct Supervisor Signature: Executive Staff Approval: Executive Staff Signature: Date: Date: 01 No Date: RECEIVED J U 2 7 201.,x re, ew RENEW G- i-ort Behaviora! 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 in completely. El In -State Training Aj Out -of -State Training F Webinar (Must be received 0-days in advance) (Must be received 90-days in advance) Employee Name: Alejandra Serrano Today's Date: 06/13112025 Training Name: The premier Trauma Therapy Conferance --------- -- Dates of training: 10/8/2025-10/11/2025 I., ------------ 11-1 ----- - --- 11 --------------- 1_1__1_1 ---------------- Departing Date: 10fr7125 --------------- -------- Departing TimieAM.. Registration Cost: $679.99 1_5 _ ---- I- I Location: Anaheim, CA Returning Date: 10/1,*25 Returning Time: AM Hotel: W_ Yes 01 No Are there any room blocks for this training at a specific hotel? Anaheim Marnot Transportation: 0 Personal Car IN Company Car if requesting to take personal car, direct supervisor signature is required below) Airfare: INP Yes No Flight / airport preferences? How will this training add value to the organization'.) This trauma therapy conference could help ado vallue to the organization by supporting our gro,.vth. as clinicians in tratima informed practices. Part of Renews mission is to embrace change, grow hope, innovate always. Attending the conference would help us put Renew's mission into practice, by connecting us to sorne of the world's learing innovators, researchers and clinician's, providing us with ongoing education on the ever evoloving field of trauma informed care, enhancing our professional skills in our EMDR training, and providing new tools to implement in our practice with the clients and families we serve. In the long rur resulting in more successful outcomes. - - — — — -------------------------- - ---- --------- --- - TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: - ---------- ------- ----------- - -- - ------------ ---- - F u n d i n g S o u rc e. Training Approved: *es N9_ i Direct Supervisor Signature: Date:_ Personal Car Approval: [I Yes 0 Direct Supervisor Signature: Date: Executive Staff Approval: Z�;s ONo > Executive Staff Signature: * Date. RECEIVED 15- JUN 272o5 renew RENEW Grant aehavlor-al Health 5 Wellness Must attach training information including agenda, start and end times and meat information, 40 Forms missing any of the required information will be returned for completion. ALL fields must be filled in completely. M In -State Training A_� Out -of -State Training 17, Webinar (Must be received 0-days in advance) (lust be received 90-days in advance) Ambar Pineda MA., LMHCA Employee Name: .... . --------- Today's Date. 6/11/2025 Trainina Name: The Premier: Trauma Therapy Conference Location: Anaheim, CA Zn1p - - - - --------- Dates of training: October 8-11, 2025 .......... ------ Departing Date.- Returning Date: Departing Time*. Returnina Time, ---------- -------- _..___.____Registration Cost: $679.99 Hotel: A Yes DNo Are there any room blocks for this training at a specific hotel? Anaheim Mam'ot ------------ Transportation: Personal Car X, Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: K. Yes 0 No Flight / airport preferences? How will this training add value to the organization? The field of trauma -informed care continues to evolve, & staying current with evidence -based practices is essential to .. . ....... -.1 . - providing high -quality services to the individuals & families ,,)ve support. This conference will offer in-depth workshops on effective trauma interventions, updates on the latest research, & practical tools that can be directly applied to our - ------------ ...... ---------- ----- ____ - --- _ - - - - ----------- ------ clinical work. In addition to enhancing my professional skills, I believe this experience can benefit our organization in the following ways: improved client outcomes, staff develoment & retention, organizational advancement & knowledge sharing. ----------- 11 ---------- TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: es EJ No Direct Supervisor Signature: Date: �_�is Personal Car Approval: Direct Supervisor Signature: Executive Staff Approval-. Executive Staff Signature: 17 Yes - V_�, 0 - ---------- - -- — -- - - ------------- - Date: Date: r-� � JUN 2 7 20"t: r% 0 1 el lew Gr-ont Behovioirof He,01th 6 Weliness • 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. 0 In -State Training A Out -of -State Training El Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Ashley Martinez LMHCA Today's Date: 06/12/2025 Training Name: Innovations in Psychotherapy 2025 Location: Anaheim, CA Dates of training: October 8th-October 11 th 2025 Departing Date: October 7th, 2025 Returning Data: October 11 th, 2025 -------- ... Departing Time: ReturningTime: . ......... Registration Cost.* Before deadline $679.99---l— Hotel: 91 Yes 011 No Are there any room blocks for this training at a specific hotel? Transportation: ED Personal Car 9 Company Car if requesting to take personal car, direct supervisor signature is required below) Air -rare: 9 Yes El No Flight / airport preferences? How will this training add value to the organization? Working with a population with higher needs, it is essential that I am equipped with the skills and knowledge to meet the needs of my clients. Innovations conference will allow me to recieve more advanced trainings and develop new skills to integrate to my practice that will be beneficial for clients to have a more successful outcome. --- - ------ As a clinician who is currently utilizing a trauma informed technique, and has expressed wanting to grow in this field, there are imperative techniques missing in my practice that would also be helpful to ensure more effective care. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: 2''fie s 171 No Direct Supervisor Signature: Date: U Personal Car Approval: El Yes Direct Supervisor Signature: Date: Executive Staff Approval: 17 No Executive Staff Signature: ... ...... - Date: --------------- EW *9 z 0 1�11 1WW Grant Sehoviol'-*_l H001WellrieSs 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 fitted incompletely. E In -State Training 9 Out -of -State Training (Must be received 0-days in advance) (Must be received 90-days in advance) Employee Name: Karli Skjervold The Premier Training Name:Trauma Therapy Conference, - ------ Dates of training, October 8-11, 2025 Departing Date,-- -October.-7th, 2025 Departing Time: TBD Registration Cost: $679.99 JUN 2 7 0 Webinar Today's Date: 06/1212025 Location Anaheim, CA Returning Date: October 1 1th, 2025 Returning Time: TBD Hotel: W. Yes 01 No Are there any room blocks for this training at a specific hotel? Anaheim Marriott 700 West Convention Way Anaheim. CA 92802 Transportation: 0 Personal Car P Company Car if requesting to take personal car, direct supervisor signature is required below) f Airfare: Wes 0 No Flight / airport preferences? How wilt this training add value to the organization? I have been with the agency for 7 years and have had the opportunity to attend several virtual and local trainings. I have always taken the opportunity to attend trainings very seriously and am mindfulness to be intentional about finishing additional requirements and utilizing trainings in my sessions. This conference would provide additional learning ----- ----------- to deepen my use of EMDR, DBT, and IFS. These are all areas that I have actively sough training and education in. I look forward to having additional skills within these topics to utilize with clients and share with my team members as we staff clients. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: ;e0ou Funding Source: Training Approved: low es 0 No Direct Supervisor Signature., --A4&i Date: c> 21-5._ Personal Car Approval: Direct Supervisor Signature-, Executive Staff Approval: Executive Staff Signature: Yes �>dqo E4:es [3,No Date: Date: JUN 2 7 2025 w renew RENEW ,v_-ont Berhiaviorol Realth & Weliness o:= 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. ❖ Attfietds must be fitted in completely. El In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must be received 0-days in advance) Employee Name: Brooke Richardson Training Name: The Premier Trauma Therapy Conference F] Webinar Today's Date: 06/11/2025__'_'_'_ Location. Anaheim, CA Dates of training: 10/08/2025-10/11/2025 ----------- --- --- - - ------ - - -------------------- -- Departing Date: 10/07/2025 Returning Date: 10,11112025 -------- -- - ---------- Departing Time: Returning Tirane: tol-ftl --- 1015 Registration cost:. Hotel: RAI Y e s is No Are there any roo m blocks for this training at a specific hotel? Anaheim Marriott Transportation: 11:1 Personal Car V Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfares *1 Yes 0 No Flight / airport preferences? GEG (Spokane, WA) How will this training add value to the organization? This training will be a valuable opportuinty to not only deepen my expertise in trauma which directly aligns with --------------- a lot of the clients we work with, but to also help provide the best possible support to those affected by trauma, I will gain enhanced clinical skills and knowledge in current evidenced -based trauma treatment (EMDR, IFS) that has been effective. I will be able to share insights with our agency of traurna-informed practices, assessments and interventions, I will also be able to effectively help our agency maintain high standards in trauma care by integrating the latest reseanch, innovative approaches and methods that wl be learned. - - - -------- ----------------- - TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estima,ted Cost: Funding SOUrce: ------------- Training Approved: Yes 01 No Direct Supervisor Signature.- Date:___ Personal Car Approval: F', Yes 0 i Direct Supervisor Signature: Date: Executive Staff Approval: es [,--j No Executive Staff Si nature: 9 - -------- - ------- ................ Date. 'renew ort Behoviomf Heolth a Wellness RENEW Must attach training information including agenda.. start and end times and meal information. ❖ Forms missing any of the required information will be returned for completion. All fields must be fitted in completely. 0 In -State Training R(Out-of-State Training 1:1 Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: ��Yli°- Today's Date: / (( �3 Training Name:_�I�G'tGt Ck Locatiow, Aneihvmt CA p6VI Dates of training: - -- - ------------ Departing Date:� `I g� �� Returning Date* __�� Departing Time: Returning Time: Registration Cost: Hotel: WN Yes 0 No Are there any room blocks for this training at a specific hotel? Transportation: 0 Personal Car [Vcornpany car if requesting to take personal car, direct supervisor signature is required below) Airfare: 19 Yes 0 No Flight / airport preferences? How will this training add value to the organization? qAWWU_J)t' 4&14L4tC,1,Vt-, e-i?A LAI i-A 4 4t C ",A Q__ CZ*%P t1, KAM #Ct&-J C__ TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost'. Training Approved: Ye 0 No Direct Supervisor Signature:__ Personal Car Approval: Direct Supervisor Signature: 0 Yes a 0 Executive Staff Approval: 0 -Ye s El No Executive Staff Signature: Funding Source: Date: Date: Date. -------------------- Piz renewlaron-!; Behavior-oj Health 5 Wel'ness Must attach training information including agenda, start and end times and meat information. Forms missing any of the required information Witt be returned for completion. Attfietds must be fitted in completely. 1:1 In -State Training 91 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name* Corina Camacho-Jimenez Training Name: The Premier Trauma Therapy Conference JUN 2 7 20H El Webinar Today's Date. 06/17/2025 Location: Aneheim, California Dates of training: 10/08/2025-10/11/2025 -- -- --- --- _,_m._.._.ry ,_�_.�.,,_�__,.. Departing Date:, 10/07/2025 Returning Date: 10/iti625 Departing Time: Returning Time: �.� $67999 Registration Cost;. Hotel: WE Yes ONo Are there any room blocks for this training at a specific hotel? Anaheim Marriott Transportation: 11 Personal Car It Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare, 91 Yes 0 No Flight / airport preferences? How will this training add value to the organization? this training will allow me to further best support clients with trauma and other Mid needs. The confernece is designed to guide clincinas and better assist them in hearing and sharing skills With other clinicians. Trainig will also provide eductaion on treating clients with complex trauma, ADHD, navigating trauma nd culturally infomred care. -- -------------------------------- - TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY - — - ------- - - - - - - ------------------ -- ------------- Estimated Cost: _4C2;0 � Funding Source: Training Approved: es El No Direct Supervisor Signature: Personal, Car Approval: 0 Yes 0 Direct Supervisor Signature: Executive Staff Approval: 160yow O'NO-) L Executive Staff Signature: Date: U/ f�� Date: Date: Z � #=2S *renew Gront Sehovicrof Hookh 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 comptcl.Aion. All fields must be filled in completely, In -State Training A Out -of -State Training 30 i�st be received 90-daysin advance, J-1us+ be recoivA Ij %,A I ed � -days in advance) (rvi Employee Name.- Conne Guerrero Training Name: The Premier Trauma Therapy Conference Dates of training: October 8-11, 2025 Departing Date: October 7, 2025 DepartingTime: Anytime Registration Cost: 679.99 RENEW El Webinar Today's Date- 06/16/2025 Location'. Anaheim, CA Returning Date: October 11,2025 Pleturnim� Time: After 12prn t:� - Hotel; A Yes ! No Are there any room blocks for this training at a specific hotel,? Anaheim Marriott Transportation: El Personal Car it Company Car If reqnest ino to take personal cars direct supervisor signature is required betow), Airfare_: A-1 Yes No FLizg-ht / airport preferenC E)50� Anaheim Awport or near by I How w1JUL this training add value to the organization? I will be able to bring back so much information presented by well known therapist and doctors. I HI be abltz to better serve our comrnunity/clients with skills, interventions and techniques in all areas and diagnosis. I wi I TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: .... - ---- ------ ------------- ------------------ - Funding Source: Training Approved: s 11 No Direct Supervisor Sicnature: N Personat Car Approval: L1 Yes 4j6"0 Direct Supervisor Signature: in C% 011 Executive Staff Approval., +�-e_.<. L� N Executive Staff Signature: - - -- - ----------------- 4e- Date - ----- Date: 'Ite" Date: Flo 9�W renewGr-ont sohaviC4-01 H"Ith 6 Wollness 4:w Must attach training information including agenda, start and end times and meat information. +�w Forms missing any of the required information will be returned for completion. + All fields must be filled in completely. F-1 In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Indelisa Salinas Training Name: Trauma Therapy Conference JN 2 7 ?025 III 11 Webinar Today's Date: 06/1.2/205 Location.- Anaheim , CA Dates of training. October 8-11, 2025 Departing Date: October 7,2025 ...... - ----- Returning Date- October 11,2025 ------ - --- - Departing Time:�Fw Returning Time: Registration Cost: U -lot Hotel: A Yes 0 No Are there any room blocks for this training at a specific hotel? Anaheim Marriot Transportation- El personal Car Aompany Car if requesting to take personal car, direct supervisor signature is required below) Airfare. 9 Yes 0 No Flight / airport preferences?_-,__,_-_. How will this training add value to the organization? This training will help provide me with information on new and developing techniques to treat clients with trauma. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: .............. - ------ Funding source Training Approved: Yes 0. Direct Supervisor Signature: ----- ------ - Date:_._�_ Personal Car Approval-. 0 Yes No Direct Supervisor Signature: Gate:..-..._._._.__._ __�__.._ a __._..�... Executive Staff Approval: 0 N?o Executive Staff Signature: ......... Date: re new I Gr,artt Behoviof'ol 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. #*e All fields must be fitted in completely. El In -State Training A, Out -of -State Training (Must be received 0-days in advance) (Must be received 90-days in advance) Employee Name: Sandra Drapeau Training Name: The Premier Trauma Therapy Conference Dates of training: 10/08/2025-10/11/2025 Departing Date 10/07/2025 Departing Time: Registration Cost: *40,679.99 RENEW 1:1 Webinar Today's Date. 06/26/2025 Location: Aneheim, California Returning Date: 10/11/2025 Returning Time: Hotel: A Yes 0 No Are there any room blocks for this training at a specific hotel? Anaheim Marriott Transportation: 0 Personal Car 1E Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: A Yes 0 No Flight / airport preferences? How will this training add value to the organization? this training will allow me to further best support clients with trauma and other MH needs. The confernece is designed to guide cAincinas and better assist them in hearing and sharing skills with other clinicians. Training will also provide education on treating clients with complex trauma, ADHID, navigating trauma nd culturally informed care. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: IR Yes DNo Direct Supervisor Signature: . . ..... . .... ....... Personal Car Approval: Direct Supervisor Signature: Executive Staff Approval: Executive Staff Signature: 0 Yes V N o W Yes 0 No - ----------- Date: Date: Date: RECEIVED Grant Grant Behavioral Heolth 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 in completely. 1:1 In -State Training N Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Patrick Drapeau Training Name: The Premier Trauma Therapy Conference Dates of training: - 1 --- 0 - /08/2025-10/11/2025 Departing Date: 10/07/2025 Departing Time. - Registration Cost.- $679.99 JUN 2 7 2025 RENEW 1:1 Webinar Today's Date: 06/2612025 Location: Aneheim, California Returning Date: 10111/2025 returning Tune: Hotel: 9 Yes 11 No Are there any room blocks for this training at a specific hotel? Anaheim Marriott Transportation: 0 Personal Car 4 Company Car (If requesting to take personal car., direct supervisor signature is required below) Ai rfa re: A Yes 0 No Flight / airport preferences? How will this training add value to the organization? this training will allow me to further best support clients with trauma and other MH needs. The confemece is designed to guide clincinas and better assist them in hearing and sharing skills with other clinicians. Training will also provide education on treating clients with complex trauma, ADHD, navigating trauma nd culturally informed care. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Tra i ni n g Ap p rove d: EKes 0 N Direct Supervisor Signature: Date:. Personal. Car Approval: El Yes ,ENO Direct Supervisor Signature: Executive Staff Approval-. Executive Staff Signature: El No Date: Date:- RECEIVED !LM renew Must attach trains information including agenda, start and endtimes and meal inforrnation. r-3 Forms missing any of the re:,qulreld information wit', be returned for completion. Ott fields must be fitlled in comptetely. of -State n-State Training Out-Trng (Mu,st be received 30-days in advance) (Must be recel-ved 90-days in advance) i-Emptoyee Na mn e- Tanner Long Training Name: The Premier Trauma Therapy Conference Ell Webinar Today"s Date: 6/16/2025 Location, Anaheim, CA 1011 MC�2 Dates of tra'nng-. 0-it Depar-ting Date- October 7, 2025 gDtober 11, 2025 Returninate: Oc" - - -- ------------------ D e p art i n a T imi -et ReturningTime: -- Registration Hotet: yes ONo Are there-, any room b1focks for this training at a specific hotet? Transportationrt Personat Car A Cornpa- ny Car (if requesting to take personal, car, direct supervisor "ignature is required bet ,I irf a r e. A Yes No F-tight / airport pri-J,,fetneences? How wilt this training add vatue to the organIzation? Training to build therapy aoproaches in delivery best trauma care to clients served in Grant county. 1�'] Mill Iv fa iMIM151111 III I � Estimate.d. Cost: Training Approved: 0 No DireCt Supervisor Signature: - Personal Car Approval. 0 Direct Supervisor Signature: N Exe5cutive Staff ApproII Executive Staff Signature..- Funding Source: Date:- (., �, t �, " rz Date: Date: IffiNMEMS j U N At 7 2025 renew RENEW Gro I Seharviorol Heod1th -5 Weli 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. Alt fields must be fitted in completely. 0 In -State Tra*n*ng Aj Out -of -State Training (Must be received 30-days in advance) (Must be received 0-days in advance) Employee Name, Reins Escamilla Today's Date: 6/16/2025 Training Name. The Premier Trauma Therapy Conference Locatiow Ana'n eim, CA Dates of training: ctek Departing Date: October 7, 2025 Returning Date: Orctober - 11,2025 D e pa rti ng Ti me: — Returning Time: �� ti �___. Registration Cost- d ------- ICIAq iotet: you: S DNo Are there any room blocks for this training at a specific hotel? Transportation: 0 Personal Car A Company Car if requesting to take personal car. direct supervisor signature is required below) A i rdfa r e: 9 Yes 0_1 No Flighty / airport preferences? ._.__—..— How will this training add value to the organization? Training to build therapy approaches in delivery best trauma care to clients served in Grant county - TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Yes Y Training Approved: kNo �_ _7� Direct Supervisor Signature: ?D Persona[ Car Approval: Cl Yes L/-N o Direct Supervisor Signature: Executive Staff Approval.- ra-d�e s 101 Executive Staff Signature: Date: Z-— / / 1 Date: Date: RECEIVED IWIr eralKeeullnews Groat s Must attach training information including agenda,, start and end times and meal, information. Forms missing any of the required information will be returned for completion. ALL fields must be filled in completely. 11 In -State Training IR Out -of -State Training 1:1 Webinar (Must be received 30-days in advance) (Must be received 90-days in advance) Sonia Fernandez Employee Name: Today's Date, 06/18/2025 Training Name: The Premier Trauma Therapy Conference Location: I Anaheim, CA Dates of training. October 8-11 v 2025 Departing Date: October 7, 2025 Departing Time: N/A Registration Cost. $679.99 -- - --- -------- Returning Date: October 11, 2025 N/A Returning Time.- Hotel: A Yes 0 No Are there any room blocks for this training at a specific hotel? Ana"eim Marriott 700 West Convention Way Anaheim, CA 92802 Transportation: 0 Personal Car *company Car if requesting to take personal car, direct supervisor signature is required below) Airfare: MR Yes E] No Flight/ airport preferences? N/A How will this training add value to the organization? This conference will increase my knowledge and skill set to best support clients. It would also allow me to learn from experts in the field and network. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: F_ - r Y e_. 0 No Direct Supervisor Signature:,----- Date: Personal Car Approval: El Yes 2<0 Direct Supervisor Signature: Date Executive Staff Approval: =fam6s El No Executive Staff Signature: - ---------------- Date:- renewCir-ont Behoviorol He*lth a wellness • Must attach training information including agenda, start and end times and meat information. v, Forms missing any of the required information will be returned for completion. **** All fields must befitled in completely. 1:1 In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Dalia Casilia s, MSW, LICSWA Training Name: 2025 Innovabons in Psyctvherapy tbe prernier Trauma dwapy Dates of training: 10108/2025- 10/11/2025 Departing Date: 10/07/202-5 DepartingTime: Registration Cost; .$679.99 iUL 3 2025 0 Webinar Today's Date: 05/09/2025 Location: Anaheirno CA ---------------- Returning Date: 10/12/2025 Returning Time: — Hotel: 9 Yes 0 No Are there any room blocks for this training at a specific hotel? Anaheim Marriott Transportation: F Personal Car 0 Company Car If requesting to take personal car, direct supervisor signature is required below) Airfare: A--rj Yes 0 No Flight /airport preferences? How will this training add value to the organization? Attending this conference will offer a significant value to myself and the organization professionally. It will enhance my clinical skills as I will be obtaining the latest evidenced -based practices while obtaining continuing education credits. This conference will provide me with the tools that will help improve client care while utilizing trauma informed care. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: 2"Yes 0 No Direct Supervisor Signature: Personal Car Approvat: ,Yes o Direct Supervisor Signature: Executive Staff Approval: 0Yes El No Executive Staff Signature: x Funding Source: Date:"� _ � �.,��_ Date: Date: ,ECEIVED JUL 3 2025 rene UU RENEW -- --------- ------ Must attach training information including agenda, start and end times and real information. Forms missing any of the required information wilt be returned for completion. At( fietds must be filled incompletely. -State TraininA Out -of -State Training 0 Webinar Ing 1 (lust be received 0- air in advance) (Must be received 90-days in advance) Employee Name: Danielle O'Brien Today's Date- 7/1/2025 -----_----- - --- Training Name- The Premier Trauma Therapy Conference Anaheim, CA ------ Location: Dates of training. coo e8-1 1-2- ... -------- ...... Departing Date, ........ .......... ...... Returning Date: ........ . - .......... ... .. .. ... ------------ ...... Departing Time., Returning Time - Registration Cost: 779.99 - I -- ------ ... 111- ---------- --- — -- ------------ ------------- Hotel- 1111, Yes D- No Are there any room blocks forth Is training at a specific hotel? Transportation: Persona[Car #Company Car if requesting to take personal car, direct supervisor signature is required below) Airfare: 1A Yes N o Flight / airport preferences.? -------- How will this training add value to the organization? This training will improve and strengthen my clinical skills in both of my roles. Ir".^ tr% I +-I Ito% f If .4 ed ^.rN fg, A A,,-. - - - ------------------ - - - The training will enhance professional development providing up-to-date knowlege. ----- - - ------ Learning to identify trauma symptoms more accurately can lead to more effecfive interventions. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: ..... Funding Source: Training Approved: Yes 1 No Direct Supervisor Signature: <". �;.-�� Personal Car Approvals 0 Yes --VNo Direct Supervisor Signature:........".._ 1_0 Executive Staff Approval: VrYes No 1 Executive Staff Signature: ---------- Date. Date: Date: Register Now The Premier Trau a Therapy Conference 1(hiron CIO inics Register Now A e t ici I f it Here's your premier opportunity to master skills and access cutt*in9;;;; 0 edgeinsight directly from the worlWs premier trauma experts As a therapist on the fro ratlines of trauma healing, you're always on the lookout for the next therapy breakthrough to free your clients from intense suffering. That's exactly why this conference was developed — to connect you with the world's leading innovators, researchers, and clinicians who will equip you with today"s most effective skills to revolutionize your trauma treatment results. Join us in beautiful Anaheim, CA, or online for four days of world -class instruction that provides the perfect blend of inspiring education with rest and rejuvenation' Master skills and access cutting -edge insight directly from the world I s premier trauma experts. Here's just a sample of the incredible, rarely offered sessions you'll experience at Innovations 2025: o Allanis Morissette, award -winning singer -song writer,, thought leader,, and mental health John and Julie Gottman, developers of the Gottman Method and the world's leading couples therapy duo • Steven Hayes, co-founder of Acceptance and Commitment Therapy, on healing suffering through the ACT approach • Frank Anderson,. the field"s leading IFtrauma trainer and author of Tronscending Trauma 0 MayiM Ili allik, actress, author and host of the widely popular podcast "'May1m Bialik's Breakdownht Plus,, groundbreaking workshops from Ramani Durvasula, David Kessler,, Janina Fisher,, Ellyn Bader, k Thema Bryant., David Grand and dozens more of today"s leading trauma innovators' Whether you're looking for step-by-step guidance on exactly what to do and say in your next client session ... or desperately looking to be refreshed and reconnected with your work Innovations 2025 is the place for you]. 3 0' k I N L rVy mcm 1 N ANAHEIM, CA -------------- ��779*99USD ftw- I INCLUDES: * 4-day live all -access pass * Meet face-to-face with the fields experts * Full access to the virtual platform • 4-day live virtual all -access pass • State-of-the-art online platform • Live interaction with the field's experts flor thie comolote connph_,tf-.;--onfcarranc-,., recording pack-zige -vvhich includt�,%s Si,alf-Study CEI Wednesday, October 8 9 -13 0 A 41v 1 - 'l, PN I P DT ll 3:00 PXf -- 4:00 PNI PDT 4:00 PM PDT 101 - Etylotional Freedom Techniques for Emotional Regulattion & Tratifna Processl'n!x An Enerwy Afiproach 1020 'Frauma 1. Processing �vith Brainspotting A NcuroA�\pimcntlall Model for N 103 -The 1-takomi Method for Transformincy Trauma t"T InuMlae-ric.c. Throwyli Nlindfiul Psychotherapy lyk"orkshops Break NVednesday Keynote Exhibit I fall Opens MIMMZ�M�� f t 1 5 PNI - 2.45' P � 1)DT L i��l�rcoii Address, � [,xfii it Mall I liAppenings Lilve P*odcasl Record.1muvirlltcti 201 - Trans cenifino AW Trauma Nvith IFS lh:ahni,� the Wounds W'e ("at'r, 2W05 - PoNvatral- ln Informed ENID, R A Neuro-InfOrnied Approach to I I eahli 0* IV 304 - Attachment- Focuse(] ENIDR Hoaling RcIlloonalTniuma & z De%elopnwntal Repair 202 - An ACT Sampler Flexibility YOU Can Use Torn.orrmv- 301 Supporting Clients Tbrougli .1 oter generaflonal Trauma & Narcissistic Family Systems Sutivory of�v NNIOW,C)'Mr, Relational Abuws 305 - Recognizing & Treatiour Medical P". Trauma E-S-sentijl Skills Chnician*, 203 -Treating Cultural and Racial Trauma w its Somatic Practices i I Acceisingr t1w Healing, Power of the Bod\1- 302 - Couples Therapy as a Treatment for Trauma Ffealintv, mvelopinental Z, Traufna, Shame., Az Relational W-oundin-or 4- 204 - Sex, Couples, & Psyebeclefics Treating Relational Tratima with Kela.minio & NID.*,,-IA 303 - Somatic Trauma Therapy in. Action Inteoratino BodN-Based Therapy, EIAIDR, and Parts kVork Friday, October 10 i-M 9.00 ANi --- 10:45 AM PD-F Kelyncite Address Nfoming "'Orkshops I = 15 p%f 21.45 PNI PDT Luncheon Addrcss Exhibit Hall flappen,111"us 3:00 PM n5:W00 PNhf PT Afterricio"orksops if)o P. \-I - Exhibit Hall GraDd Finite 6:3'0 PIvl --- 8:00 PINI 1194' Fveni.no- Dionev Comedy Event 8:00 Pam --- 1 1:oo Pm PDT Innovations Daricc. Party J1, 401 - New Approaches to Treat Traumatic Mentories VVhen Clients arc Unt.-ible to Talk About What Happened 4051 Bridgincy Somatic zm & Cognitive Behavioral 'I"herapy for'Frauma Healina.. Integrating Mind & flod% fim- Lastima Trauma Recox er\, 402 - Healing Triauma Throutyb kl. Transformative Dialogue A D'evelgip mental Approach to RC-storingx, Cov-mecholi 501 - Disarmincr the Covert Narcissist Innovatitmis in Addresst'110 c.. Narcisskml in 1nd)*,,,-jdu.aj.s & Couples 403 - Navigating AD"D through a Tratima-Informed Lens IS itrateoies ft-yr kleaninuftil r; -I- suppo tt 50.2.0 Solution Focused BriefTherapy Crcatin Lasting Chango CC, Rapidl�. N-1 404 - When Grief MeetsTrauma Ad,, arced Techniques U'slillty Bart, Nfind & Body 503 - Infidelity & Betrayal ff,�Ipifig Couples fciid tc., I -lain I C, & Possibilltv I 504 - Embodied oevelopmental Trautna Therapy Recc,rillectim-, xitli the Bi.)cby)s Innate Capacity fbr I-leahlily 505 - Rewiring Traunia's Inner Dialogue Leveraging Neuropla-suclIA to Z�t rl Foster Resilience and Self - Compassion Saturday, October 11 ------------- -- ''Ill.- --- ---- - - - -------------- - -- --- I ------- -- - ---- - ----- 9:30 ANI - 9:45 AM PDT 10f)0 A% --I ---- Nooll PD-F 60t - Grief on the Job [-I,(,-)NV tO Set BOUrldarles tk I lold Spac-�, t'Or Other5 Keynote Address Final Workshops 602 - Tratima-Informed Culturally Competent Care 'tinical Considcratloni for Treatf.11011 603 - Helping Couples P#ttl*ld,rhrlvl'ng Relationships A Pr-.)ctic,,Ij INIodel fir Understanichno HoLovels RullT & Groxvi, Oker Time r 604 - Treating the Impact of Emotionally- Inimat-ure Parents How to �kVkwk iNith Clients Who Have Been Emolionfalty Used 6 0 Ta i-nl' n g t h e A m v g da 1,a Simplit.N ing Fxposure Therapy tol-raiisftyrm Fear into Courage I hi