HomeMy WebLinkAboutOut of State Travel Request - New Hope DV/SAGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: New Hope
REQUEST SUBMITTED BY: Celina Garcia
CONTACT PERSON ATTENDING ROUNDTABLE: n/a
CONFIDENTIAL INFORMATION: ❑YES ONO
DATE: 3.17.26
PHONE: 509.764.8402
❑Agreement / Contract
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D Out of State Travel
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❑WSLCB
Out of state travel request for Sara MacDonald, Trisha Glenn, and Elisa
Adolphsen to travel to the NCA Leadership Conference in Washington DC.
Total cost for travel is $9866.78. The conference is June 27, 2026 - July 2, 2026.
All costs are covered by department grants.
If necessary, was this document reviewed by accounting? ❑ YES 0 NO ❑ N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO ❑ N/A
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D 1: o
6e)
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
DEADLINE: Dine by Thursday at 12:00, p.m. to the Commissioner's Office with BOCC Consent Agenda Request Fora, to he on the
following week's Consent Agenda.
Traveler's Narne(s): ELisa Adotphsen
Department/office: Kids Mope
Purpose of Travel:
Destination:
NCA Leadership Conference
Washington DC
Dates of Travel: 8I27/26 - 7/2/26
Total Trip Cost Estimate: 3 442.66
(This fire will auto -sure the casts fisted below)
Travel Type (Select One) :
Fund Number/Department:
Out of State Travel
Q Out CCNUS Travel W, Mi or -US Territory
New Hope
Foreign Travel
Extradition
Grant Funded? If Yes, List Grant Amount.
Cost Application (Select One).
Yes CACWA
Government Rate
j No
0 Conference Pats
Regular Rate
Hotel - GSA Rate: Hotet - Nightly Rate:
Hotel Tota:
276.00
27 .00 1,331.06
Explanation for Rate: Required if Motet cost is greater than per them or government rate Conference Fee:
700.00
Per Diem for 3 nights 276, 1 night at 183 and 1 night at 139, plus tax and fees
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of III&E During Travel:
0 Yes
is 736.0
No
Air Carrier: Cost of Flight:
$
675.0
(Addt'1 costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by EOIDH? If Yes, EofDH Name:
0
Elisa Adolphsen, CAC Manager
Yes
Suz'I Fade
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.
Traveler's Name(s): Sara MacDonatd Department/Off ice: Kids Hope
Purpose of Travel: NCA Leadership Conference Destination: Washington DC
Dates of Travel: 6/27/26 - 7/2/26 ITotal Trip Cost Estimate: $ 3.,212.06
(This line will auto -sum the costs listed below)
I Travel Type (Select One):
Q
Out of State Travel
Q
Out.CONUSTravet (AK, H,1 or.US Territory)
0
Foreign Travel
0
Extradition
Grant Funded? If Yes, List Grant Amount:
a 'Yes CACWA
0 No
Fund Number/Department:
New Hope
Cost Application (Select One):
Q Government Rate
Q Conference Rate
F) Regular Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
-------- --- -----
$ 276-001 276.00-1
Explanation for Rate: Required if hotel cost is greater than per them or government rate
Per Diem for 3 nights 276,1 night at 183 and 1 night at 139 plus tax and fees
Rental Car Required? If Yes, Rental Car Cost:
- - ---- ----
Yes
No
lAir Carrier.0
Preparer's Name/Title:
EUsa Adolphsen, CAC Manager
Cost of Flight:
is 675.00
Hotel Total:
Is 1s331.06
Conference Fee:
Is 700.001
Total Estimate of VII&E During Travel:
$ 506.00
Preapproved by EO/DH?
Yes
No
(Addt7 costs for extended stays-, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
SuziFode
D ADLINEI Due Thursda ,at .2:00 n . o tie bmm sione�'s:�►ffice �r�th Bt�CC CQnse `t
p n ;Agenda Request Form, to be on the
s
Tolle
g it reek's on nt `A end .
g
Traveler's Name(s): Trisha Tenn Department/Office: Kids Hope
Purpose of Travel: Destination:
NCA Leadership Conference Washington D
Gates of Travel: 6f27/20 - 7/2/26 Total Trip Cost Estimate: $ 31212.06
(This line will auto -sure the costs listed below)
Travel Type (Select One) : Fund Number/Department:
Out of State Travel
New Hope
0 Out C0U3.Travel.(-Al, H,-i or USTerritory
0 Foreign Travel
Extradition
Grant Funded? if Yes, List Grant Amount: Cost Application (Select One)
Yes CACWA Government Rate
0 No Conference Rate
Regular Rate
Hotel - GSA Bate: Hotel - Nightly Rate: Hotel Totat:
$ 276.00 T 11 31.06
Explanation for Rate: Required if hotel cost is greater than per therm orgovemment rate Conference Fee:
Per Diem for 3 nights 276, 1 night at 183 and 1 night at 139 plus tax and fees
700.00
Rental Car Required? If Yes, Rental Gar Cost: Total Estimate of MI&E During Travel:
0 Yes Is 500.00
No
Air Carrier: Cost of Flight:
$ 075.00
(Addt`t costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by ECG/DH? IfYes, ECG/DH Name:
Elisa Adolphsen, CAC Manager Yes 3uzi Fode
0 No