CANTON CITY SCHOOLS

APPLICATION TO ATTEND

PROFESSIONAL MEETINGS

(Complete this form using blue or black ink. See reverse side for more detailed instructions.)

Applicant’s Name Application Date _______________

Building Grade or Subject Position ________________

Meeting Dates __________________ SCHOOL ABSENT DATES

Is Substitute Needed? Yes ____ No A.M. _____ P.M. _____

Topic of Meeting Sponsoring Organization ______________________

Meeting Location (Bldg.) City/State

Method of Travel Driver of Auto

Names of other persons from Canton City Schools District attending this meeting:

(Permission form required for each individual)

EXPENSES

Amount Requested Actual Expenses (Paid by Employee)

$ Auto $ .405 per mile for miles $

$ Parking and Tolls (Submit paid receipt) $

$ Airplane or Railroad (Submit paid receipt) $

$ Taxi Fare (Do not include tip -- submit paid receipt) $

$ Hotel or Motel (submit only receipt paid by employee) $

$ Meals - $20.00 per day maximum including banquets $

$ Registration Fee (includes meals: Yes___ No___) $

(Submit receipt for registration fee paid by employee)

$ TOTAL REQUESTED TOTAL EXPENSES $

__________________

Signature of Immediate Supervisor Signature of Applicant Social Security #

SOURCE OF REIMBURSEMENT

ORG KEY OBJ

SUBSTITUTE CODE

CENTRAL OFFICE APPROVAL

(CENTRAL OFFICE APPROVAL INDICATES PROGRAM APPROVAL AND FUNDS AVAILABLE IN BUDGET TO COVER EXPENSES

PLUS COST OF SUBSTITUTE)

Name:______________________________ Signature:__________________________________

Please Print

Department: _________________________ Date Approved: ______________________________

See back of form for line of approval.

----------------------------------------------------DO NOT WRITE BELOW THIS LINE -----------------------------------------------------

Date Authorized Professional Meeting Permission Granted by

Date Actual Expenses $ Approved by

GENERAL INSTRUCTIONS FOR COMPLETING APPLICATION FOR PERMISSION TO ATTEND PROFESSIONAL MEETINGS

1. This form should be submitted to the proper department (see #11) two or more weeks in advance of the professional

meeting. COMPLETE ALL ITEMS except “Actual Expenses” at the time of request.

2. If more than one person from the Canton City School District attends a meeting, they are expected to travel together.

Mileage allowance will be for only one person. A permission form is required for each person.

3. AN APPLICATION FOR PERMISSION TO ATTEND PROFESSIONAL MEETINGS MUST BE COMPLETED WHETHER OR

NOT EXPENSE REIMBURSEMENT IS REQUESTED.

4. After the applicant has completed the request form, it should be submitted to the Immediate Supervisor/Principal for signature

of approval.

5. The Immediate Supervisor/Principal will sign the form if permission to attend is granted. Indicate the ORG KEY/OBJECT CODE

for source of reimbursement. The Supervisor/Principal should make a copy for reference in obtaining a substitute when

necessary and indicate SUBSTITUTE CODE from which substitute will be paid.

6. Once signed by the Immediate Supervisor/Principal, the original (blue or pink copy) should be forwarded to the Central Office Administrator for approval if central office funds are being utilized. It will then be forwarded to Human Resources for final permission to attend. If not using central office funds, the request can be sent directly to the Coordinator of Human Resources

or the Business Manager.

7. After the request is given by the Coordinator of Human Resources or Business Manager, the original

(Blue or pink copy) will be returned to the applicant via Payroll secretary in applicant’s building. The requesting individual should retain the form to resubmit the “TOTAL EXPENSES” section. If there is to be no expense reimbursement, the applicant should

file the original request granting permission to attend.

8. A copy of the approved request will also be sent to the school or department involved. After the applicant attends the meeting, this copy should be included with the Payroll Report for that period.

9. Upon return from the meeting, the applicant should complete the “TOTAL EXPENSES” column of the original (blue or pink copy), and ATTACH SUPPORTIVE DOCUMENTATION for all items except mileage and meals. Parking, hotel/motel, registration,

etc., must be supported by paid receipts (actual expenses paid by the applicant) in order to receive reimbursement.

10. The original request form (blue or pink copy) should then be resubmitted to original funding source for approval. The original funding source office will approve and forward to the Treasurer’s Office for reimbursement.

11. Line of Approval:

HUMAN RESOURCES BUSINESS MANAGER

Superintendent Treasurer

Assistant Superintendent Assistant to the Superintendent

Assistants to the Superintendent Student/Support Services

Elementary Director of Pupil Personnel

Student/Support Services Supervisors:

Directors Food Services

Coordinators Human Resources

Principals LRC Technicians

Assistant Principals Secretaries

Teachers Maintenance

Physical Activities

Transportation

{Note: BLUE copy to be used by CERTIFICATED STAFF --

PINK copy to be used by CLASSIFIED STAFF - ITALICIZED ABOVE.}

Rev 08/29/03bp