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HomeMy WebLinkAboutOut of State Travel Request - Renew (002)G"NT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursda) REQUESTING DEPARTMENT. RENEW Cierra Pic���do REQUEST SUBMITTED BY. . .l CONTACT PERSON ATTENDING ROUNDTABLE.DelAnderson CONFIDENTIAL INFORMATION: []YES, WNO DATE: 12/15/2025 PHONE: (50 9) 765-9239 ext 5353 ,TYPE(S) OF DOCUMENTS SUBMITTED. - - ------------------------ --------------------------------------------------------------------- -- --------------- (CHECK ALL -- ------- --------- THAT APP��] greement Contract 11AP Vouchers ' Reappointment F.A,_Appointment RPA Related LDB'ds RFPs Quotes Amiard Bid Opening Scheduled 10 Boards 'Committees Budget .:,,;Computer Related County Code Emergency Pur h c Empl oyee Rel.ase ElFacilities Related 0 Financial DFund s fearing ElInvoices Purchase Orders E Grants — Fed"State./County Leases D N1 0 A / tvl 0 U '"_j Minutes 0Ordinances *000ut of State Travel 17 Petty Cash 71- P of i ci e s IE-D P ro c I a rr. a t i o n s DRequest for Purchase E Reso I uti on Recomrnendation r/Consultant L Professional Sery 7Support Letter Surplus Req, xT Thank You' 7Tax Title Property EIWSLCB Out -of State travel request for Dard Alamos. RX and Illicit Drug Summitin Nashville, TN. April 5, 2026 - April 9, 2026. Estimated Cost: $3089.37 Funding Source: 108.0000.,0000.5660000.XXXX NO N/A rEl DATE OF ACTION- /020..- 0.? - OT-- DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN DI: D2-1 DT WITHDRA0 N, RECEIVED 2025 4/23/24 GRANT COUNTY COMMISSIONERS 0 Traveler's Name(s): Darcl Alamos Department/Office: RENEW -- - ---------- Purpose of Travel, Destination: RX and Itticit Drug SuMmit Nashvftle,, TN' .. .. .... . .... Dates of Travet: Apr115,, 20,26-7,April 9, 2026 jTotal Trip Cost Estimate: $ 31,089.37 (This tine wilt auto -sum the costs listed below) Travel Type (Select One) out o , f State T I ravet Out CONUS Trivet (AK, HI or UST rrit ry) Foreign Trave I Extradition Fund Number/Department: 108,.0000-0000-5660000.Xm Explanation for Rate: Required if hotel cost is greater than per them orgovernment rate Rentat Car Required? If Yes, Rental Car Cost: Yes No 0 Air Carrier. Delta Preparer's Name/Title. Cierra Pichardo/ Accounting Technician Cost of Flight: 1 $ 648-37,1 0 Conference Fee. $ 800.00 Total Estimate of MME During Trivet: $ 341.00 Preapproved by EO/DH? Q Yes 0 Na Additional Expenses: (A ON c os ts for exten de d stays, flight upgrades., etc. at the expense of the traveler) If Yes, EO/DH Name, DeRAnderson renew Grant Befitavlo-rail He-olth 6 Weltros*s CT J 5 2025 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. Ate fields must be filled in compLeteLy. 4 In -State Training 9 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) Employee Name: Darcl. Alamos Tnays Date: 10/13/2025 Training Name:.,RX and Illicit Drug Summit Location. Nashville, TN ,�r. 4/6/26-4/9/26 Dates of trainmr, — -------- ., 4/4/26 Departing Date. Returning Date* 4/10/2026 .................... ...... ......... . Departing Time: . ............................Returning Time - - __----- I Registration Cost: $700 Hotel: W Yes ONo Are there any room blocks for this training at a specific hotel? Gaylord Opryland Resort & Convention Center [0 00 Transportation: 0 Personal Car 9 Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare.- 9 Yes ONo Flight I airport preferenceS47 Delta 0 How witt this training add vaLue to the organization.? As an SUOP and a Subject Matter Expert member of the North Central Opioild Abatement Council I any dedicated to addressing the oploid and addiction crisis in our community. I believe my attendance at this conference will be beneficial as it will allow me to gain a deeper insight while learning strategies to address this crisis from other professionals through workshops and networking. This conference also help to advance my professional growth and provided me with required CE's for my license. Estimated Cost-, ...... . . . ..... ...... ......... . .... . .. Funding Source,-... ... ­­­.._._.- . ...... ­­ ......... . . Training Approved: S 0. No Direct Supervisor Signature. Date: uOnD ji'l, 19-At --- -------- ---------- -- ----- Ao/1 ... V--- Personal Car Approval: 0 Yes 0 No Direct Supervisor Signature: Executive Staff Approval: 0/�. � 10, Executive Staff Signature: -------- Date: Date:. 10/13125, 3:45 PM Home I Rx and Illicit Drug Summit 2025 Powered by 171�4 HelloBar L REGISTER EARLY & SAVE Soo ............................. . . . . . . . . . . . . . 15 Years Strong. 1-Urning the Tide Together For 15 years, the Rx and Illicit Drug Summit has been a leading force in the fight against the opioid and addiction crisis, It remains the most influential gathering of stakeholders, where groundbreaking 'Ideas are exchanged, strategies are forged, and action takes root, Our work is not done. While national overdose numbers have begun to decline, the crisis is far from over, Behind every data point is a community still hurting, a family still grieving, a person Mill struggling, Now more than ever, we must stay the course, sharing what's working and advancing new, collaborative solutions across prevention, deflection, harm reduction, treatment, and recovery. Rx Summit 2026 is where those committed to change come together, from federal leaders to grassroots advocates, researchers to clinicians, and first responders to https://Www.hmpglobalevents.com/rx-summit M 10/13/25, 3:45 PM Home I Rx and Illicit Drug Summit 2025 Powered by HelloBar REGISTER EARLY It & SAVE $500 Highlights Share strategies with decision -makers and allied professionals, embrace innovation, and learn about what 'is working in prevention, treatment, and law enforcement, https://www.hmpgiobalevents.com/rx-summit 2/12 10/13/25, 3:45 PM Home I Rx and Illicit Drug Summit 2025 A�411 vvno ho- ..may ni hftps://wmv�h mpg loba levents, com/rx-s u mmit 7/12 10/13/25, 3:47 PM Rates I Rx and Illicit Drug Summit 2025 be Dates 1�pr�! 60&u., 20261 Nashville, TNAv��i�l ... I SUPERSAVER EARLY BIRD ADVANCE SOLD --END�/ - 0 /3 OUT LASTCHANCE REGULAR ONSITE In Person ON ift ON& Nonpront,, uovernmentj Academic $ 700 J Full access to the main conference, which includes four days of live opioid and addiction education, hftps://www.hmpglobaIevents.com/rx-summit/rates 1/6 10/1 X26, 3:47 PM Rates I Rx and Illicit Drug Summit 2025 Powered by Helan REGISTER EARLY & SAVE $500j t 3 J Coffee, refreshments, and networking breaks in our Exhibit Hall, Maximum ACcess Package: Nonprofit, uovernment, Academic 9 Adak, Full access to the main conference, which 'Includes four days of livt 11 op oid and addiction education, plus onAemand access to all Rx Summft sess*ions for 3 months, V Claim credits for each session attended onsite and on -demand, J Save $500 off the Onsite Rate! v/ Coffee, refreshments, and networking breaks incur Exhibit Hall. Corporate $11170. Full access to the main conference, which includes four days of live opiold and addiction education, ,,./ Claim credits for each session attended onsite, hftps://www.hmpglobaIevents.com/rx-summit/rates 2/6