HomeMy WebLinkAboutOut of State Travel Request - Renew (002)PRg4ggTED EXPENDITR
U ES..
AMOUNT
Registration
$ 775.00
Lodging
$717.78
Ai rfa re
$ 228.60
Car Rental
$ 0
Personal vehicle Mileage:
$ 85.41
Meals
$ 240.50
Other (please specify)
$ 40.00
*If cost exceeds total amount aproved, additional
approval from BOCC is required*p� Total Request for out of state travel
$ 2®87.29
Elected Official, Department head, or Designee signature: V, Date:
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Print or type name: Dell Anderson
Commissioner: L�VED
Commissioner:
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Chairman BOCC Daeb¢p
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STAFF NAME: Cecilia Godinez Hernandez
NAME OF TRAINING: AAS22 (American Associafi
LOCATION: Chicago, IL
LOCATED IN WA STATE? ❑Yes F71No
DATES OF TRAINING: 4/28/22
DEPARTING DATE & TIME: 4/27/22
RETURNING DATE & TIME: 4/30/22
HOTEL NEEDED? [Z] Yes [:]No
AIRFARE NEEDED? r;� Yes r -]No
FLIGHT PREFERENCES: any
through 4/30/22
REGISTRATION NEEDED? 7Yes ONo
WHO WILL BE IMPACTED BY THIS TRAINING?
TRAVEL REQUEST
DATE: 3/15/2022
TRAVEL PURPOSE: Professional Development
R]Employee OTeam Members ❑Other Agency Staff ❑All Agency Staff
WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train your team, other
teams, agency leadership, and other groups on?)
Suicide prevention national conference as new staff member leading county -wide prevention efforts
related to suicide prevention and mental health promotion.
CA4,2?�4)
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVAL TO TAKE PERSONAL CAR: Manager initials
MANAGER APPROVAL (CIRCLE ONE): YES, Send form to Leadership for further approval
NO, Training is denied Manager initials
ESTIMATED COST:, 9500 6C'0
LEADERSHIP APPROVAL (CIRLCE CINE):ES ) NO INITALS 49W-��
IF Z Date . -3 2-2—,..
1/28/22