Fortuna Union High School District
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Regular Monthly Board Meeting Wednesday, February 10, 2021 @ 6:00 PM
Professional Development Authorization Form
Please complete the form below. Mandatory fields marked
General Information
Employee Name:
Department:
Site Admin Approved?
*
Yes
No
--- Select a School ---
AR
East High School
FHS
District Staff
Activity Dates:
From:
To:
Total Days Gone:
Conference/Event Title:
*
Destination:
Justification for Activity:
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 success
Goal 2: Learning Environment - safe, supportive, engaging school environment that seeks parent and community input
Goal 3: High Quality Instruction - highly qualified staff, state standard implementation, appropriate course access, and utilization of appropriate technology
How will you share what you've learned with other district staff?:
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 register
No, I've booked
Registration Link
Hotel Check In Date:
Hotel Check Out Date:
Air Travel
--- Choose an Option ---
Yes, please register
No, I've booked
Air Travel Link
Lodging
--- Choose an Option ---
Yes, please register
No, I've booked
Lodging Link
Hotel Check In Date:
Hotel Check Out Date:
Vehicle Rental
--- Choose an Option ---
Yes, please register
No, I've booked
Not Needed for all sections.
Travel Companions (Colleagues)
General Comments: