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Teton County School District #1
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Request for Professional or Administrative Leave

Request for Professional or Administrative Leave
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❗All professional leave must be received and approved 30 days prior to traveling.
First Name
required
Last Name
required
Full Name
Email
required
Employee Cell Phone Number
required
Start Date (Requested Leave)
required
End Date (Requested Leave)
required
Type
required
One Time
Recurring
Please describe the nature of the recurrence
required
End of recurrence
required
Title of Activity/Conference/Clinic
required
Webpage or URL for the activity
How does this activity connect to the district strategic plan/professional development plan?
required
How will you share out the information you learned?
required
Do you need a substitute?
required
Yes
No
Leave Type
required
Half Day
Full Day
Half Day Type
required
AM
PM
Location Type
required
In-District
Out-of-District
Do you need travel?
required
Yes
No
City
required
State
required
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Do you need a hotel?
required
Yes
No
Hotel Preference
required
Hotel Phone Number
Is there a group hotel rate?
required
Yes
No
Unknown
Hotel rate additional information
required
Do you need airfare?
required
Yes
No
Transportation Options
required
District Vehicle
Rental Car
No car needed
Full name on drivers license
required
Date of Birth
required

Please be aware that you will need to pick up a gas card from Accounts Payable at the district office.
How many people are traveling in this district vehicle?
required
District Vehicle Pick Up Date
required
District Vehicle Pick Up Time
required
District Vehicle Drop Off Date
required
District Vehicle Drop Off Time
required
Projected Cost - District Expense
required

Please give us your best estimate
Conference Clinic Registration
Air Fare
Rental Car or Parking Fees
Gasoline / Mileage Charges
Ground Transportation
Hotel/Motel Charges
Substitute Full Day
Substitute Half Day
Meals with receipts
Other expenses
No Expenses
Estimated Amount (Conference Clinic Registration)
required
Estimated Amount (Air Fare)
required
Number of days car needed
required
Estimated Amount Per Day (Rental Car or Parking Fees)
required
Rental Car or Parking Fee Total
0.00
Projected Gasoline / Mileage Cost
required
Projected Ground Transportation Cost
required

❗TRAVEL: All automobile travel will be in district owned or rented vehicles. Please work with the business office and transporation to make arrangements.
Projected Hotel Cost
required

❗HOTEL/MOTEL BILLS: Bills must be itemized. All personal charges (i.e., telephone, movie rental, etc.) must be paid by the employee at the time of check
Projected Meals With Receipts Cost
required

❗MEALS: All meals will be refunded with receipts. We follow the Federal per diem rates. Breakfast will be paid if employee leaves prior to 7:00 A.M. Lunch will be paid if employee leaves prior to 11:00 A.M. or returns after 1:00 P.M. Dinner will be paid if employee returns after 7:00 P.M.
Estimated Total Half Day Substitute
required
Estimated Half Day Substitute Expense
0.00
Estimated Total Full Day Substitute
required
Estimated Full Day Substitute Expense
0.00
Projected Other Expenses
required
Total Projected Costs
0.00
Notes

❗RECEIPTS: Itemized receipts are required for all reimbursement including meals. You must submit your reimbursement request in UMB within 30 days of your return date, or it will be denied with no exceptions. 
Additional Cost Acknowledgment
required
I understand that if I require a change after travel has been reserved/booked, then I will be responsible for all additional costs, including cancellation costs to the district.
Professional Day Presentation Acknowledgement
required
If asked, I will present my learning at the District K-12 Professional Development day.
Acknowledgement and Understanding
required
I have read and agree to follow the guidelines for district travel and expense outlined above and in TCSD board policy.
Employee Signature
required
Draw your signature in the area above, or use the saved signature button if available.
Is your direct supervisor the superintendent?
required
Yes
No
No results found
Alex Goe
Anitra Jensen
Bennett Lieberman
Carrie Varga
Colby Stevens
Daniel Abraham
Daniel Reed
Heather Schon
James Howell
Jason Huggins
Jenna Beck
Julie Nash
Kristen Mayo
Matt Hoelscher
Megan Fouts
Mike Hansen
Pier Trudelle
Ryan Allen
Scott Crisp
Scott McDowell
Tracy Poduska

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