HomeMy WebLinkAboutOut of State Travel Request - Renew7V
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. Deli Anderson
CONFIDENTIAL INFORMATION: E11:11YES �NO
DATE. 8/27/25
PHONE: (509) 765-9239 ext 5353
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Out-of-state training request for Catalina Guzman - PNW Employment Forum
Portland, OR / September 28 - October 1, 2025
/ Estimated Cost $1, gg. 0
--- -------------------------- - -
Funding DC L 125.167.00.8001.568.14.xxxx
11
If necessary, was this document reviewed by accounting? [] Y E S El NO R N/A
If necessary, was this document reviewed by legal? IF" Y E S 0 NO 9 N/A
DATE OF ACTION. IdY*'--
APPROVE.- DENIED ABSTAIN
D1:
D1
D3-.
DEFERRED OR CONTINUED TO;
RECEIVED
AUG 2 8 2025
4/23/24
GRANT COUNTY COMMISSIONERS
Out of State Travel Request Application
T
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 Name(s):1 Catalina Guzman
Department/office:1 Renew
Purpose of Travel: Pacific Northwest Employment Forum
-----------
Destination: Portland, OR
Dates of Travel: September 28 - October 1, 2025
Total Trip Cost Estimate: $ 1,091.00
(This line vvilt auto -sum the costs listed below)
Travel Type (Select One):
Fund Number/Department,
Out of State Travel
❑ Out CONUS Travel (AK, HI or US Territory)
DCL 125.167.00.8001-568.14.xxxx
❑ Foreign Travel
❑ Extradition
Grant Funded? If Yes, List Grant Amount:
Cost Application (Select One):
❑ Yes
Q Government Rate
No
❑ Conference Rate
F❑ Regular Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
Hotel Total:
$ 155.00] $
155-00 $ 465-00
Explanation for Rate: Required if hotel cost is greater than per them orgovernment ra Conference Fee:
N/A
$ 325.00
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of MI&E During Travel:
❑ Yes
$ 301.00
No
Air Carrier.* Cost of Flight:
Additional Expenses:
1$
$
N/A
(Addt'l costs for extended stays, flight
upgrades, etc, at the expense of the traveler)
Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name:
Y es
Anna Serrano
Dell Anderson
No
9
e renew
Oraot Sehav!Qrol Held; Wellness
❖ Must attach training information including agenda, start and end times and meat information.
4.% Forms missing any of the required information will be returned for completion.
4* ,** All fields must be filled in completely.
[D In -State Training .9 Out -of -State Training
(Must be received 30-days in advance) (Must be received 90-days in advance)
EmpLoyee Name: Catalina Guzman
Training Name: Pacific NW Employment Forum 2025
Dates of training, 09/29/2025 - 10/1/2025
Departing Date:
Departing Time: 8.00am
Registration Cost: $310
Fi Webinar
Today's Date: 7/25/2025
Location: Portland, Oregon
Returning Date: 10/1/2025
Returning Time: 6:00PM -
Hotel: LWF Yes El No
y i
Are there any room blocks for this training at a specific hotel? HolidaInn Portland - Columbia Rverfront, an IHG Hotel
Transportation: 9 Personal Car El Company Car
(if requesting to take personal car, direct supervisor signature is required below)
Airfare: 17 Yes A! No
Flight / airport preferences?
How will this trainini, add value to the organization?
0
Provide a vital opportunity to advance inclusive employment strategies and strengthen efforts.
With access to policy updates, breakout sessions led by national thought leaders, and
collaborative state chapter meetings, the forum empowers me as the coordinator to align
with best practices and state initiatives. Beyond learning, it fosters meaningful connections
with fresh ideas and renewed motivation to elevate employment outcomes within the counties.
TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY
Estimated Cost:
Funding Source: I - - -------------- - --- - --------
Training Approved: WYes ,-aNG
c7:
Direct Supervisor Signature: Date:
Personal Car Approval: Fes [1 No
N
Direct Supervisor Signature:
Executive Staff Approval:
Executive Staff Signature:
1_j
Date: - - ------- - ----
;-on/ ---------------- -----
Sep 29
MMI-M-10-FUl
Po%c 0
a ific NW Employment Forum 2025
Oregon. and Washington APSE chapters (along with other sponsors in the Pacific NW) bring you the 11 th An.nua I Pacific NW
Employment Forum, Our theme this year, Rooted in Resilience: Nurturing Growth through Supported Employment, guides
our learning together and sharing best practices to assure employment is a reality for all. If you cannot travel, join us
virtually. Hope to see you in Portland!
We are thrilled for you to join us for the 11 th Pacific NW Employment Forum. The Office of Development Disability Services,
(ODDS) is hosting an Employment First Summit just following PNWEF, and Oregon APSE is assisting with the event
registration, Come to these events to spend mid -week learning and growing with self -advocates, employment professional,
and others in Portland, assuring Employment First's philosophy continues to evolve as focusing on a person's skills and
strength moves employment for all -forward.
Registration for APSE members is $265; others $325; and for both events $330 or $4390. **Please note: This is the
registration link for ODDS Employment First Summit, too, The Oregon Employment First Summit is October 1-2, 2025. Once
you register, your confirmation email has a link to add to your calendar.**
Virtual registration is $110 for an individual and $315 for an organization,
(0) Holiday Inn Portland - Columbia Riverfront, an IH(3 Hotel
V 909 N Hayden Island Dr, Portland., OR 97217
View gn mgp
Virtual location
You will receive a confirmation email with a URA.
Sep 29, 2025 03,30pm PT - Oct 01 t 2025 12:30pm PT
Add to G+ gle - Outlook Web - Outlook Mobile - Yghoo - Kal
See current information at PNWEF website.
Refunds for canceled registrations: Cancellation requests received on or before 7.31.20-1,15 will be refunded in full minus processing fee of $10. Cancellation requests received after
9.1.41025 will be refunded at 50% minus processing fee until 8.17,25: and 25% MMUS processing fee until 9-2 2025 After 9.3.2025, no refunds will be processed but. transfer
registration will be honored.