HomeMy WebLinkAboutOut 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 SUB MI-FTED B y. , Anna Serrano
. Dell Anderson
CONTACT PERSON ATTENDING ROUNDTABLE.
CONFIDENTIAL INFORMATION: 0YE S E0 NO
DATE: 7/24/25
PMONE, {509) 765-9239
TYPEP OF DOCUMENTS
SUBMITTEM
(CHECK ALL
THAT A FP__Ly)
CAgreement / Contract
'-7-jAP Vouchers
DAppointment / Reappointment
ARPA Related
O'Bids, / RFPs / Quotes Award
Hid Opening Scheduled
OBoards / Committees
01 Budget
OComputer Related
'.----,County Code
0Emergency Purchase
Employee Rel-
ElFacilities Related
OFinancial
[]Funds
0 Hearing
�,Dlnvolces / Purchase Orders
0Grants, — FediState/County
1: --- JI-eases
EIMOA / MOU
Minutes
-Ordinances
*Out of State Travel
0Petty Cash
--'Policies
E] Proclamations
'Request for Purchase
DResolution
El Recommendation
[]Professional Serv/Consultant
E Support Letter
E.]Surplus Req,
F ..-]Tax Levies
ElThank You's
17—Tax Title Property
OWSLCB
- SUGGESTED WORDING FOR AGENDA: Who, What, When, W Term, cost etc.
Out-of-state travel request for Juan Padilla, Traci Hunt & Jonathan Muck ,
Crisis Con 25 / Sep 28 - Oct 1, 2025 / Indianapolis, IN / Estimated Cost $,5a each
Funding - MH 108,150.00.0000.564.00.xxxx & Crisis 108.150.00.8052.564.41.xxxx
[IJ necessary, was this document reviewed by accounting? Y E S
LEGAL REVIEW:
If this document re ullres leqAall rev route to lenal for rev* r I
yiew, ro jew-Prio
If necessary, was this document reviewed by legal? YES 71 N 0
DATE OF ACTION: - 45
APPROVE., DENIED ABSTAIN
D1,
e
D
2, ir
D3-
4/23124
N 0 N/A
DEFFRRED OR CONTINUED TO-,
* N/A
I
lut of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on
the following week's Consent Agenda.
Traveler's Names : Juan Padilla /Traci Hunt/ Jonathan Muck IDepart ment/Office:l Renew
Purpose of Travel: Crisis Con 25 Destination: Indianapolis, IN
Dates of Travel: September 28 - October 1, 2025 Total Trip Cost Estimate: E$
(This line will auto -sum the costs listed below)
I Trave I Type (Select One) :
Out of State Travel
Out CONUS Travel (AK, HI or US Territory)
Foreign Travel
Extradition
Fund Number/Department:
108.150.00-0000.564.00.xxxx
108.150.00.8052-564.41.xxxx
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):
O Yes 0 Government Rate
No 0 Conference Rate
❑ Regular Rate
Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Total:
$ 133-00] S 229.00 $
lExpianation for Rate.* Pequired if hotel cost is greater than per them orgovemment ra
I No government rate available.
Rental Car Required? If Yes, Rental Car Cost:
C) Yes
ej No
Air Carrier: Cost of Flight:
Southwest 1 1,31.00
I Preparer's Name/Title:
Anna Serrano
6,962-37
21411-37 1
Conference Fee.
$ 2,400.00
Total Estimate of MI&E During Travel:
840.00
Preapproved by E01DH?
M Yes
0 No
Additionat Expenses:
(Addt'l costs for extanded stay, flight
upgrades, etc, at the excense of the traveier)
If Yes, EO/DH Name:
Dett Anderson
RECEIVED
L
renewC-POrIt Seltlovjo-Ml H001th 8 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.
Att fields must be fitted in completely.
El In -State Training W. Out -of -State Training
(Must be received 0-days in advance) (Must be received 90-days in advance)
Employee Name: Juan Padilla
Training Name: Crisis Con25
Dates of training: 09/28/2025-10/1/2025
,2025
Departing Date-, 09128'
DepartingTime:.
Registration Cost: $800 non-mereebers
11 Webinar
Today"s Date. .07/14/2025
Location.- --Ind.i-a-napolis
Returning Date: 10/1/2025
Returning Tune:
Hotel-. W. Yes El' No
Are there any room blocks for this training at a specific hotel? JW Marriott
Transportation: 0 Personal Car 91 Company Car
(if requesting to take personal car, direct supervisor signature is required red below)
Airfare: IN Yes 0 No
Ftight / airport preferences? .delta diwt flight
How will this training add value to the organization?
Practical Learning tracks built for your day-to-day challenges and actionable takeaways. Unbeatable networking
with over 1000 crisis leaders from across the country, High -impact keynotes from change -makers
Engaging plenary sessions on the most pressing issues in crisis care.
TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY
Estimated Cost: 2000
Training Approved: No
Direct Supervisor Signature:
,_.�.- e �.. -.. �_.�.
Personal Car Approval: 0! Yes Wj No
Direct Supervisor Signature: I—- — -------------
Funding Source:
Executive Staff Approval: 11 s C1 No
Executive Staff Signature:_
- - -- — ------ ----------- .. . .....
Date: 7/14125
Date: 7/14/25
Date: 7/14125
RECEIVED
0 0 aw JUL 1 4 2025
renew W
W V
G-rgrit Sehovioral Health -9 We"Iness
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.
F� In -State Training A Out -of -State Training F Webinar
(Must be received 30-days in advance) (Must be received 90-days in advance)
Traci Hunt 07/14/2025
Employee Name: Today's Date:
Training Name: Crisis Con25
Dates of training: 09/28/2025-10/1/2025
Departing Date: 09128/2025
DepartingTime:
Registration Cost: $800 non-memebers
Location:, Indianapolis
Returning Date: 10/1/2025
Returning Tire:
H otet: WRI Yes 0, No
Are there any room blocks for this training at a specific hotet? JW Marriott
Transportation: D Personal Car 9 Company Car
if requesting to take personal car, direct supervisor signature is required below)
Airfare., 9 Yes 0 No
Flight / airport preferences? defta direct. flight
How wilt this training add value to the organization?
Practical Learning tracks built for your day-to-day challenges and actionable takeaways, Unbeatable networking
with over 1000 crisis leaders from across the countryl High -impact keynotes from change -makers
Engaging plenary sessions on the most pressing issues in crisis care.
TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY
Estimated Cost: 2000 Funding Source:
Training Approved: 9 Yes
r
Direct Supervisor Signature:
Personal Car Approval: 11 Yes 1W No
Direct Supervisor Signature:
Executive Staff Approval: S Ll No
Executive Staff Signature:
Date 7/14/25
Date.
.7/14/25
Date: 7/14/25
mffidmftk� Awwhh� r%
r I lew
Gront Behovioi%al Heatth 6 wellness
+*.* Must attach training information including agenda, start and and times and meat information.
,e.* Forms missing any of the required information will be returned for completion.
**** All fields must be fitted in completely.
0 In -State Training X Out -of -State Training
(Must be received 30-days in advance) (Must be received 0-days in advance)
Employee Name. _jonathan Muck
Training Name. Crisis Con25
Dates of training: 09/28/2025-10/1/2025
Departing Date: 0912812025
Departing Time: ------
Registration Cost: $800 no¢n-rnemebers
RENEW
0 Webinar
Today's Date.- -- 07/14/2025
-----------
Location: Indianapolis
Returning Date: 10/1/2025
returning Tirane:
Hotet: W Yes 7 No
Are there any room blocks for this training at a specific hotel? JW Marriott
Transportation: 0 Personal Car 11 Company Car
if requesting to take personal car,, direct supervisor signature is required below)
Airfare: 19, Yes 0 No
Flight / airport preferences' delta direct Right
How will this training add value to the organization?
practical.earningtracks builtforyour day-to-day challenges and actionable takeaways, Unbeatable networking
with over 1000 crisis leaders from across the country, High -impact keynotes from change -makers
Engaging plenary sessions on the most pressing issues in crisis care.
-- --------- - -- - ---- ---- ---
TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY
Estimated Cost: 2000
Funding Source:
Training Approved: 9 Yes El No
Direct Supervisor Signature: ...._....__!� �_ __ __-E°�-
-
Personal Car Approval: Ell Yes 9 No
Direct Supervisor Signature:
Executive Staff Approval: e 0 No
Executive Staff Signature:.....,..._.... c--- �z ' .— -----
Date,
.7114/25
Date: 7/14/25
--- -------------- — -----
Date.-.7/14/25
HOME REGISTER HOSTHOTEL SPONSOR EXPLOREINDY AWARDS ABOUT
PRESENT FAQ MORE+
se ;a If - to, h
CrisisConzS: Where the Nation's Crisis Leaders Unite
J\/\/ Marriott Indianapolis I Sept 28 — OCt 11 2025
Get ready for CrisisCon- the national gathering designed for the full crisis care continuum. From 988 call
centers to mobile crisis teams, residential programs to psychiatric urgent care, this is where your peers,
partners, and purpose come Log ether.
What to Expect
t for yoUr day-to-day
PractiCA!, learning traCks buil I challenges and cobltakeaways
# Unbe-atable networking with over 1,000 crisis lead�rs from -across the country
* Hg4h-impaC_t keynotes fro— change -makers
I
Engaging plenary sessions on the most pressing issues in crisis care
Whether you're on the frontlines or shaping policy behind the scenes - this is the conference you've been
waiting for,
Registrat-Jon Fees
$725 - Mernber (regf-stratio,17 open Nod ddy, MaY5, 2025)
S800 - Non-Menigber (registration, open MoniYay, May 72.r 21025)
$35o - -Singile Da-1
Y
HOME REGISTER HOSTHOTEL SPONSOR EXPLOREINDY AWARDS ABOUT
PRESENT FAQ ORE
S nx,@ r- C I A!
special cirCumstance, please contact us at infw crisscon.or with details. Your request will then be brought to the con ferenc-e
cow mittee for review,
p r )nf er r Event- Violence and Mental Health: Enhancing Crisis Set we s
through Behavioral Threat Assessment & Management
Sunday, Septetuber 28, 2025 - 7230 Pm - 430 Pm 64 CEUs for socialworker s available)
Presentedt)y Adam Graharmi, TBD Solutiins
For decades, the professional threat assessment community has engaged and researched the psychology of violence, thie
functions oT'violence, the pathway to intended violence, and proximal, risk dynairnics of violent e.- This workshop will unpack best
practices in threat assessment and management based on this research, will illustrate these best practices at work in real world
�, intervention 0 1
cases, and will apply the best practices to behavioral health crisis assessment, intervention, and treati-r-lent.
At the conclusion of the. workshop, participants w-I be al le to:
• identify the 3 primary functions of violence, how ejr-.Ch can present it -self in. behavioral health care, and' how each can be
effectively engaged, and treated in behavioral health Carts
• Apply the Pa-thway to Intended Violence mod, -.,I to current behaviloral health crisis assessm,(2--nts and management
Strategies.
• ti€ Structurted Professional Judge'arnent. tools (SPYs) and the proximal risk factors of violencLe to assess risk ofviolen
behavior.
Ai tic !at e the steps to forming and best-" praCt'rp operating an acency Behavio-alThreat Assessment Team,
I k-._ S fo f t I I I
Engage ineffective strategiesforbehavioral health threat manage-m"ent.
Limited Capacity
Crisis Center Tour: Aspire Indiana Health - Noblesville
Monday, September 29,2025 - 5T00 PM - 9:00 PM
n cluspreview --cr'- integintegratedhealth�r-arn facillt-Jes, Aspire Ind*ana Health Nobklsville, On
Aexive ofl one of our st-ate-oftheal
nsive care.
Monday, Septernbel, 29th', we are pleased to offer a firsthand 1ook at our innovative approach, to comprehe
HOME REGISTER HOSTHOTEL SPONSOR, EXPLORE INDY AWARDS A 6 01J T
P R VE S E N T FAG MORE+
S in-, a; r c h
L -om the center will be provided imited, Capacity. Additional ticket required- Traa�portatio,,-7 to and 6
Let's connect. Let's innovate, Let's strengthen crisis care -together.
Wcan't wait to see you in Indy!
nte r n at i o n a o u n
H E L P
crisis
Hu";"IME REGISTER HOSTHOTEL SPONSOR EXPLOREINH 44AABOUT
PRESENT FAG MORE+
Se arch.
toinen snouta i plan to arrive in inalye
IvVe recommend arri ving in Indianapolis on Sunday, September 1-2-8, to take full advantage of scheduled conference activities. Those-
'
planning to attend the10,1elcome Reception should arrive by 3pm to allow time to check in and get prepared.
I f you Plan to attend -the pre-cot-,tferenice session, you should arrive- on Saturday, September 27,
V hen does the conference begin at the JW "Aarrio-U Indianapolis?
rrisisCon begins on Sunday, September,28 5 pm with a VVielcome Reception.
--beat 8a
Conferem-e sessions begin on Monday, S1_ ptemr2q, :3o m.
Are there any pre -conference sessions?
lix,je currently have one pre-C-onference session:
0 Violence and NA, ental Health: Enhancing Crisis 'S'-ervices through Behavioral Threat Aksse-ssirrient & INAlanagennel -t
0 Sunday Septer, 7beir 28 / 72--30 P-M - 4.30 DM
*Additional pre-conferenCe programming may be added on Sunday, Sep i[-ernber 2-8. and will be updat-edhere and on ot,
Registration page once confirmed!
. 1
V hat kinds of things are there to do in Indianapolis?
d -adium
Indianapolis is a vibrant city with plenty to expiore - from tours olthe iconic Indianapolis Motor Speed and Lucas Oil St
to visitst--o local, attractions like the Indiana State Museum, For a full list of recommendations and city guides, check out the
Exrflh re Indy',p f
_Og�! on our, vvebsite,
if you a,r-e planning to extend your time in Indianapolis, we do have limited available rooms at the group ra,.e, pre andl post
CrisisCon, and suggest you book your room as soon as possible!
When wilt' I be able to see the conference agenda?
1 -el b e. posted on the webs t The conferenre agenda wil", be published y mud -July and will
Will CEUs be available?
i,
atio We are working on submilting for NBCC :and NASIA/ for CEU credit. We %,vill haviez, more ind'ormn to share as we get (Joserto
41 40
cnsis..
H, ' M E REGISTER HOSTHOTEL SPONSOR EXPLOREINDY AWARDS ABOUT
PRESENT FAQ M 0 R,-, E +
How do 1. connect with others?
There are great opportunities to network and build connections throughout CrisisCon, hricli ding-,
* The' elcome Reception on Sunday evice- rning
* Conference meals
Visiting with Exhibitors
Interactive features in the VVhova mobile app, such as messaginq, discussion boards, and meet -ups
V'*%J/hat is the Welcome Reception?
The �Avfelcome Reception is a CrisisCon tradition that ahows attendees to r-neet, mingle, and connect before conference sessions.
The reception takes place on Sunday, September 28, from 5 Pm - 7:330 pm, Light hors doeuvres and refreshments will be served,,
with live music and a cash bar.
Do I need a laptop at the conference sessions?
A 11aptop is not necessary for conference sessions. Session slides, the conference agencla, and other key conference details will be
made available through the hova mobile app-
As a first-time attendee, what can I ex:-)ec?
VVe're excited to vvelcome you tO YAK first CrisisCon! As a first-time attendee, you can look forward to:
Specially reserved tables at events to help you meet other first -timers
A dedicated track of Crisis lol sessions
Dinners that offer informal. netviorking opportunities
A Pre -conference Zoom call to help you prepare, ask questions, and ce-nnect before arriving
A n i n fc) r mal first-time attendee meet -up on Monday morninig
What will the weather be like?
Mi,dwest temper atuires can vary greatly in the Fall, but average temperatures in Indianapolis range from S5 degrees to 8o degrees.
HOME REGISTER HOSTHOT EL SPONSOR EXPLOREINOY AWARDS ABOUT
P R, E S E N T FAG MORE +
Se-_- , r --( -;- 'r -,
Is there a lot of walking involved at the conference center/hotel?
ig roms ae dependg on
There can be, but we do our best to limit that! While the meeting rooms and sleep'norin the sarne hotel, in
the sessions you are attending, we tried tokleep everything for CrisisCon on two floors. We suggest wearing comfortable shoes
when possible, and if you need any accommodations, please note that during your registration -
Will there be exhibitors at the conference.?
Yas! 'VVe will haVP- 40+of the top vendors and r Oa
i , i itionsin theinclu-stry present. They o eo, are excited tmet with yuso make
-4an F za
sure U sLCip by their table to learn about new products, services, and opportunitiest Exhibitors will be available from Monday,
September 29, to VVednesday, October 1. VAJe will post a list of all exhibitors in the mobile app.
VVhen is on -site registration open?
Registration is open on Sunday from -12 PM - S Pm, Monday fne"IN-Im I 7-3o am - 4 PM, and Tuesday from 7:3o am - 4 Pm,
I registered but I am no longer able to attend, What is the cancellation and/or refund policy'�
YourconTfeerenre rp r, 1
I-qistration is non-refundable; 1howevet you are welcome to transfer your ticket to a different ind'vidual until
September 12, 2025. To transfer your registration, please comple-te the form linked here. if you I elieve you have a special
circumstance, please, cont-act us at info@crisiscon.org with details. Your request will then be brought to the conference comirnittee
for review,
What is included in the conference registration fee?
A fi 11 registration includes access to breakout sessions fror- Monday - Wednesday, including Keynoyes and Plenary sessions, the
Welcorrie Rec-eption, and meals and breaks on Monday, Tuesday, and VVedne-sclay (Breakfast on Monday - 0Jedr1esday, and Lunch
orl klanday and Tuesday).
- I is are all availabla for
t er e n eqistratbn, net A;orking dinner. or the tour. These iteeri I E It does not include: Access for guests. Dre-con" ce r
a ;i-n additional fee.
I'm interested in volunteering. How do I sign up?
Ole havei Solfmoving pie-ces during the conferenc-e andl require volunteers to rtoMr
%.. I r, it tO 3 hours per day, As a thank you to our