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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 sr: Anna Serrano CONTACT PERSON ATTENDING ROUNDTABLE,. Dell Anderson CONFIDENTIAL INFORMATION: 0YES RNO DATE. 7/31/25 PHONE: (509) 765-9239 eat 5353 tTYPE(S) OF DOCUMENTS SUBMITTED: ACHECK ALL THAT APPLY)g [DAgreement / Contract OAP Vouchers LOAppointment Reappointment L_._`ARPA Related Bids / RFPs / Quotes Award 0Sid Opening Scheduled F-1 Boards / Committees f-I Budget OComputer Related 0 County Code ['331Er ergency Purchase '—Employee Rel. 1017acilitles Related OFInaneial 03 Funds []Hearing El Invoices Purchase Orders C1 Grants — Fed/State/County E].eases 7"]MOA / MOU C] Minutes 130rdinances F9 Out of State Travel Petty Cash ElPolicies O Proclamatio ns D Request car Purchase Resolution 0 Recommendation OProfess ioral Serv/Consultant Support Letter Surplus Req. 0Tax Levies []Thank You"s DTax Title Property -__7WSLCl3 G O G IAGENDA E [SUGGSTED WORDING FOR A - - ------------ ------- ------- - ----- -------------- - --------------- ---------- ------------- (Who, What, When, Why,Term, cost etc.J7 Out-of-state training request for Dell Anderson, Genny Huberdeau & Juan Padilla 2025 Annual Learning Symposium / Portland, OR / September 10-11, 2025 / Estimated Cost $1,298.80 per person (Dell & Genny) $1,128.00 (Juan) / Funding MH 108.150.00.0000.564.00.xxxx If necessary, was this document reviewed by accounting? M YES ---- ---------- --------- ------ --- Lit ---- G---- A-- -------- L ---------- R ------- E___ V--I--E-- W----:--- If this document requires legol review, route to legal for revprior, If necessary, was this document reviewed by legal? F-1 YES El NO DATE OF ACTION,. — APPROVE: DENIED ABSTAIN D1: D2: 2 D3: IQ 4123/24 -D N 0 CI /A DEFERRED OR CONTINUED TO: R N/A 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 I the following week's Consent Agenda. Traveler's Name(S)*. Dell Anderson / Genny Huberdeau / Juan Padilla I Department/Office:1 Renew 4 Purpose of Travel. Destination: 2025 Annual Learning Symposium Portland, OR j Dates of Travel: September 10-11, 2025 iTotal Trip Cost Estimate. $ (This tine will auto -sum the costs Listed below) I Travel Type (Select One) : 0 Out of State Travel Out CONUS Travel (AK, HI or US Territory) C] Foreign Travel 0 Extradition Fund Number/Department: MH 108-150.00.0000.564.00.xxxx 06 Grant Funded? If Yes, List Grant Amount, Cost Application (Select One):_ 0 Yes O Government Rate No Q Conference Rate 0 Regu [a r Rate Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Total-. $ 155-00 I$ 225.00 $ F- Explanation for Rate: Required if hotel cost is greater than per them or govemment ra No government rate available. Rental Car Required? If Yes, Rental Car Cost: E] Yes No Air Carrier: Cost of Flight: Alaska Airlines $ 534.00 I Preparer's Name/Title: Anna Serrano 2,631.00 675-00 1 Conference Fees, $ 1,035.00 Total Estimate of MI&E During Travet: $ 387.00 Preapproved by EO/DH I a Yes 0 No I Additlionat Expenses.* (Addt7 CoStS for extended stays, ffight upgrades, etc. at the expense of the traveler; If Yes, EO/DH Name: Dell Anderson renewGr� "hoviorof Hoolth's UMrr*'":!S I 4#'+ 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 fietds must be fitted in completely. 9 In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name.. Dell Anderson Training Name: 29th Annual Learning Symposium Dates of training: September 11, 2025 Departing Date: September 10, 2025 Departing Time: anytime on the 10th Registration Cost: L4 60 00 Hotet: A Yes 0 No Are there any room btocks for this training at a specific hotel? Today's Date. 7/29/25 El Webinar Location: Portland, Oregon Returning Date. September 11, 2025 Returning Time.- after 5pm on the 11 Transportation.- 9 Personal Car LOD Company Car (If requesting to take personal car, direct supervisor signature is required below) Airfare: 19 Yes ONo Flight / airport preferences? How witt this training add vatue to the organization? This training is about bridging gaps through a culture of improvement. I will be able to utilize new learning to -continue to build on our organization strategy and improve our workplace culture. ........... TO BE of BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: Direct Supervisor Signature: 0 Yes 0 No Funding Source: 0- Personal Car Approval.- o[fY'e s E, No. Direct Supervisor Signature: .. .... Executive Staff Approval: E�� 0 No Executive Staff Signature* Date:, Date:..._._...____— _—�-..� Cate renewco-ont Be*vvw,'at Heolth 6 Wehoess 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 in completely. El In -State Training W Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name. Genny Huberdeau Training Name: 2025 Annual Learning Symposium Dates of training: September 11, 2025 Departing Date: 910125 Anytime on the 10th Departing Tire* Registration Cost- $34_;00 Today's Date:,7/31/25 Portland, OR Location: Returning Date.* Returning Time, After 5prn on th,e 11 Hotel: NP-1 Yes 1] No Are there any room blocks for this training at a specific hote,7 Kennedy School - McMenamins Transportation.- W, Personal Car 0 Company Car if requesting to take personal car, direct supervisor signature is required below) Airfare: 19 Yes R No Flight / airport preferences?,,. M11 =1 How will this training add value to the organization? This training is about bridging gaps through a culture of improvement. I will be able to utilize what I learn to continue to build on our organizations strategy and improve our workplace culture. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost. - FundingSource* Training Approved: 0 Yes Ll No Direct Supervisor Signature: Date: Personal Car Approval: Ell Yes 0 No Direct Supervisor Signature: - - -------- -- Date: Executive Staff Approval: Yes 0 No Executive Staff Signature: Date:_��l/$. RECEIVED Ole 0 ,* renew Gf-ont Sehoviorof Heolth 6 Weflnvs� JUL 3 0 2025 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 befitted in completely. A In -State Training � Out -of -State Training (Must be received 0-days in advance) (Must be received 90-days, in advance) Employee Name: Juan Padilla Training Name: Performance Excellence Learning Symposium V Dates of training: Sept 1.1th to_6,ept42#F Departing Date: Sept 10, 2025 Departing Time: . 12pm Registration Cost: 345.00 Today's Date. 7/29/25 El Webinar Location: Portland Oregon t I -til ------------------------ RetuAing Date,• Sept 11, 2025 Returning Time: 11PM — Hotet: 191 Yes , No Are there any room blocks for this training at a specific hotel.? Kennedy... School Hotel Transportation: 0 PersonatCar 91 Company Car if requesting to take personal car, direct supervisor signature is required below) Airfare: 0 Yes IN No Flight / airport preferences'? How will, this training add vatue to the organization? To provider excellent leadership TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost:.$750-00 Training Approved: Direct Supervisor Signature: El Yes Personal Car Approval: *S 11 No Direct Supervisor Signature: Executive Staff Approval: 0 No Executive Staff Signature: Funding Source: Date: — Date: Date: North West Perform�nc-e ExcellencyI Bridging Gaps Through a Culture of Improvement Conference Agenda* Thursday, September 1 1th, 2025, 8am-5pm McMenarnins Kennedy School, 5736 NE 33rd Ave,, Portland,, OR 97211 7:00arn 8:00am Registration & Breakfast 8:00 8:10 Welcome & Opening Remarks — PENW Board Member V- ve Co pte h,allengewn, o n- u it Collaborating to Impro,CoC unit AY L 8:10 9-.00 . . wsi- lit -.441roloww'46-011 F'ty Leading Commuruftv laboratio het, tesults �a 9-.00 9.-45 - - - Nt Networking Break 9:45 10:00 -00 10 10:45 building the Itu of AimprovemCU ou K.Workforce Engagement n f-T r o u!�, I 9 C ire S,for , for Building a Culiture',of Improvement 10-45 11:30 ell'! Noon A.. A m-Wiff'.Liim MAL, A ills 4-W, 1:00PM Lunch 11:30 Noon -1 signing St y tegica w I Sir S e 1:00PM 1:45 (Re}Aligni 9 M C It so r ce ss Housi 9 Affordability 1:45 2:30 230 2-045 Networking Break WE eta eholder C611, CTI I rl. r device 2.-45 3:30 :,_ 4 L 'Ha dwirin Dail operations: Chickasaw Nation's Quality Management Jou 3:45 4:30 A Addo•m old rTf T'2 "I T Closing Remarks — PENW Board Member 430 C 4.-45pm For more intormation, use tnese itnKSTor geiaiWU 5PLdKt!l flit UffildLIV11431lu LU nL�f%? I Ln. -2CV7 yw%A &I glut 1w; OcPerformance Excellence Northwest, 2025 *Speakers, panelists, topics subject to change 2025 Annual Learning 0 Symposium T U , , , Sep 11 1 NIcMenamins Kennedy School, Portland, OP Join us for our 29th Annual event. Chalk full of regional and national best practices you can implement in your organization. We use cookies on our website, to see how you interact with PE NAAI does not sell any Site information nformation to third parties By accepting, Settings Accept you agree to our use of such cookies for the purporses of enhancing your site experience Privacy Policy Sep 11, 2025t 7:00 AM - 5:00 PM PDT McMenamins Kennedy School, Portland, OP, 5736 NE 33rd Ave, Portland, OR 97211, USA Guests + 9 other guests About the event BRID!91-NG,.!PAES-,IHBOUGH,A-!QLJIIUBF--,,QE..I-MPRg�v-gLA-ENI Join PENW four 29th Annuat Learning Sy M-posiurn at McMenamins Kennedy School on Thursday, September 11th, f rom Tar n-Spm. • National Keynote: Hardwiring Improvement in Daily Operations. The Chickasaw NatonQuality Management Journey John Krueger MD, MPH, Chief Medical OfficerlChief Quality officer, Chickasaw Notion Department of Health • National Keynote- Collaborating to it Complex Challenges in Your Community Stephanie Norling, Pre idea tICEO, Communitles of Excellence 2026 • Regional Best Practices & Panel Discussions Networking with other Performance Exce0ence Leaders & morel'.1 Show More Register Ticket type Price Learning Symposium, Sept. 11th From $345.00 to $395.00 sale ends .. .. .. - Sep 10, 5�00 PM PDT Early Bird (before 81,15) Quantity More info $345.00 Pull Price (after 8/15) Quantity F--- - ----- - --------- $395.00 1 0 Total 345-00 Google Maps were blocked due to your Analytics and functional cookie settings. Share this event f X in We use G-Ookles on our Yvebsite to S", how you interact with it. PENW does not sell any site information to third parties By accepting, you agree to our use of such cookies for the purposes of enhancing your site experience. Privacy Pot -icy Perform Learn,. Perform, Excel. Excel i lrul C11 Ce We are everything Performance Excellence', Contact us if you need any assistance askuftgg-xc--gl lencen-w-.-Qrg 503-964-S244 View our Privacy Policy Pe-formance Excellence Northwest (Pr. ---'NW is a 501(c)3 nonprofit organization (Tax ID: 47-2932556) 02024 Performance Excelience Northwest -- PENW, All Rights Reserved, We use cookies on iour ,N-ebsite to see hov4 you 'Interact vitthl it: PEN"A' does not R-ell ;any site informatilon to tNrc partip, hd s By accepting, you agree to our use of, such Co CAAfor the plurposes ot enhancing your site expenence. Privacy Policy