LEAVE REQUEST FOR PROFESSIONAL DEVELOPMENT
This form is for Professional Development only. Please use Professional Leave Form
for leave associated with field trips, athletics, etc.
(Please send form to Central Office at least two weeks prior to date of leave.)
1) Employee Requesting Leave: Complete SECTION ONE of this form and e-mail to principal/supervisor.
You must obtain approval for leave prior to calling for a sub.
2) Principal: Complete SECTION TWO and e-mail this form to District PD Coordinator.
3) After approval has been granted, staff member must call Amy Chappell for sub (if needed), enter requisitions
for registration and hotel (if applicable). Travel arrangements, registration, accommodations, etc., are to be
made by requesting staff member.
4) Complete Travel Reimbursement Request form upon return from Professional Development. Attach all receipts
and submit to Central Office for reimbursement. Reimbursement requests are due by the 5th of the month.
Any requests received after the 5th will not be paid until the following month.
SECTION ONE: STAFF MEMBER REQUESTING LEAVE
Name of Person Requesting Leave:
School/Office: District Position: Teacher
Name of Conference/Workshop:
How does this relate to your professional growth/needs?:
Is a substitute required? Yes No
Funding Source Gates If “other”, please specify
Estimated Expenses: $ (Include registration fees, meals, travel, lodging, sub, etc.)
Are you requesting Professional Development Credit? Yes No
Are you requesting Instructional Leadership Credit? Yes No
Will you be participating as a consultant? Yes No
If yes will you be paid for your services? Yes No
Request By: Date: PLEASE E-MAIL FORM TO PRINCIPAL/SUPERVISOR
SECTION TWO: Principal/Supervisor
Approved by: Date: PLEASE E-MAIL THIS FORM TO SONNY FENTRESS
SECTION THREE: District PD Coordinator, Superintendent or Designee
Approved by Superintendent: Date: