2007-08 Staff Development/CSPD Request/ Reimbursement Form
Name_____________________________________________________________ Building: HAFRC Name of Event_____________________________________________________ Date of Event___________
(Attach the information about the workshop/conference you are requesting to attend)
Location of Event____________________________________________________________________________
*NOTE: For special education staff, return the form to the Principal for approval
Expenses: Itemized Receipts Required for Reimbursement
Projected Cost Registration Cost Lodging Mileage (.25/mile) Meals
$5 breakfast, $7 lunch, $10 dinner
Amount Requested
Actual Cost
Substitute Wages & Benefits
Certified : $101.39 Non-certified: $10.46 per/hour
Staff Hours/Cost Other TOTAL REQUESTED ____ Site Approved ALLOWED REIMBURSEMENT Staff Dev. Comm. Approved ____ Exemplary (Best Practice) ____ CSPD - Special ED
Check The District and Site Goal Request Aligns With: ___ To facilitate staff involvement in professional development activities that will enhance the delivery of instruction to students. ___ To educate staff on current technology tools available to them for classroom instruction / classroom management. ___ Provide opportunities to improve staff collaboration across the school district. ___ To increase collaboration in an effort to improve programming for all families with early childhood aged children.
___ To increase the understanding and use of technology in early childhood settings.
___ To increase staff knowledge of best practice for working with both children and families in the field of early care and education.
____ Site Approved 01- 025 -640-000-306 - _____
366: travel
____ Exemplary (Best Practice) 01-_____-640-000-307 - _____
____ -420-640-419 _____ 01- 005CSPD - Special -ED 01- 005 -420-640-419 - _____
CODES TO USE ON TIME SHEET AND/OR EXPENSE REPORTS 145: teacher subs 146: aide subs 171: secretary subs 185: staff paid
Applicant’s Signature_________________________________________ Date____________ Approved by _________________________________________ Date____________
Copies of this form need to be attached to (1) time sheet/absence report, (2) purple expense reimbursement form with receipts and (3) registration check request