HomeMy WebLinkAboutOut of State Travel Request - Renew (003)Purpose of travel/how does this contribute to the achievement of the County and your
department?
American Association of Suicidology Annual Conference 2022
Mtjy 15LFdL I UH $775.00
Lodging $953.04
Ai rfa re $393.96
Car Rental $0
Personal Vehicle Mileage: $61.43
Meals $240.50
Other (please specify) Parking $60.00
*if cost exceeds total amount approved, additional Total Request for out of state travel $2483.93
approval from BOCC is required*
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Elected Official, Department head, or Designee signature: Date:
Print or type name: Dell Anderson
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Commissioner:
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%..ommissioner:-
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Chairman BOCC
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MAR 0.). 2 2'022
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TRAINING REQUEST
STAFF NAME: Dayana Ruiz
NAME OF TRAINING: AAS22 (American Associafi
LOCATION: Chicago, IL
LOCATED IN WA STATE? ❑1(es F71No
DATES OF TRAINING: 4/28/22 through 4/30/22
DEPARTING DATE & TIME: 4/27/22
RETURNING DATE & TIME: 4/30/22
HOTEL NEEDED? [Z] Yes [:]No
AIRFARE NEEDED? [Z] Yes [:]No
FLIGHT PREFERENCES: any
REGISTRATION NEEDED? DYes ONo
WHO WILL BE IMPACTED BY THIS TRAINING?
TRAVEL REQUEST
DATE: 3/15/2022
TRAVEL PURPOSE: Professional Development
r;�]Employee F_]Tearn 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 with new staff member for county -wide prevention efforts
related to suicide prevention and mental health promotion.
ACT (PHZ1P_rrr1)
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:
LEADERSHIP APPROVAL (CIRLCE ONE Q: CY E;1 NO INITALS Date
1/28/22