Fortuna Union High School District

Please complete the form below. Mandatory fields marked

General Information

1. Employee Name:
2. Department: Site Admin Approved? * Yes No --- Select a School ---AREast High SchoolFHSDistrict Staff
3. Activity Dates: From: To:
4. Total Days Gone:
5. Conference/Event Title: *
6. Destination:
7. Justification for Activity:
8. Which LCAP Goal Does Your Activity Best Support? * --- Select an Option ---Goal 1: Student Achievement - college and/or career readiness, standardized testing, other measures of student successGoal 2: Learning Environment - safe, supportive, engaging school environment that seeks parent and community inputGoal 3: High Quality Instruction - highly qualified staff, state standard implementation, appropriate course access, and utilization of appropriate technology
9. How will you share what you've learned with other district staff?:

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Estimated Expenses

Expense	QTY	Amount
Registration Fees
Airfare
Lodging
Vehicle Rental
Parking Fees
Meals (Per Diem)
	Total Per Diem	$
Total Travel Estimate		$

To guarantee Per Diem check, please submit paperwork at least 2 weeks prior to departure. **If your travel plans require the use of a District vehicle, please complete a separate 'Vehicle Request Form'
***Submit all receipts to District Office upon your return

Reservations/Registration Request
	Yes/No	Date Due
Registration	--- Choose an Option ---Yes, please registerNo, I've booked
Registration Link
Hotel Check In Date:
Hotel Check Out Date:
Air Travel	--- Choose an Option ---Yes, please registerNo, I've booked
Air Travel Link
Lodging	--- Choose an Option ---Yes, please registerNo, I've booked
Lodging Link
Hotel Check In Date:
Hotel Check Out Date:
Vehicle Rental	--- Choose an Option ---Yes, please registerNo, I've booked

Not Needed for all sections.

Travel Companions (Colleagues)

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1. General Comments: