Submit the completed form to your chairperson, director, or coordinator who will forward it to the appropriate principal. The forms must be submitted at least two (2) weeks prior to the conference date.

Today’s Date / / / / / Print Name / Bldg.
Staff Assignment / Date(s) substitute required
Name of Conference
Organization sponsoring the conference
Location of conference
Date(s) of conference
Your role at the conference:
General participant / Presenter
Officer of organization / Other
How will your attendance at this conference support the goals of your Building’s Key Results Team?
Transportation expenses: (see note #1 on back)
Public transportation ticket charge / =
Drive privately owned conveyance:
From (Endicott) to / = / Miles
From / to (Endicott) / = / Miles
Total Mileage / @ rate (see #3 on back) / =
Mileage may be requested only if school car is not available
Call Facilities and Grounds at 757-2106 to request school car
Lodging (see note #1 on back)
Meals (see note #2 on back)
Registration fee
Other (specify)

TOTAL EXPENSES

------ACTION TAKEN ON REQUEST------

(return completed form to the Assistant Superintendent’s Office, Main St.)

Approved by Building Principal______

(Signature)(Date)

Approved by coordinator/director ______

(Signature)(Date)

Approved by Assistant Superintendent______

(Signature)(Date)

MAXIMUM AMOUNT APPROVED: / $ / SOURCE:

Groupwise folder/Forms Board/Conference Request form

Notes:

  1. Since school districts are prohibited by law from paying tax on lodging or transportation, the traveler is responsible for procuring a tax exemption certificate or else the amount of the tax

will be deducted from claim.

  1. Reimbursement of meals as per Board of Education Policy.
  1. Mileage expenses are to be paid from school to destination at the current IRS rate (check with personnel office). Mileage may be requested only is school car is not available.
  1. Registration and advanced fees are the responsibility of the conference attendee and will be reimbursed following the conference via purchase order.

APPROXIMATE MILEAGE

Albany, N.Y……………..147 mi.New Paltz, N.Y……………..161 mi.

Atlantic City, N.J………..280 mi.New York City, N.Y………..205 mi.

BOCES……………………N/AOneonta, N.Y. ………………70 mi.

Buffalo, N.Y……………..189 mi.Oswego, N.Y. ……………..116 mi.

Cortland, N.Y…………….43 mi.Owego, N.Y………………….15 mi.

Ellenville, N.Y…………..110 mi.Philadelphia, P.A…………..196 mi.

Elmira, N.Y……………….49 mi.Rochester, N.Y…………….150 mi.

Ithaca, N.Y……………….42 mi.Saratoga Springs, N.Y…….174 mi.

Kiamesha, N.Y…………110 mi.Syracuse, N.Y……………….77 mi.

Liverpool, N.Y……………87 mi.Washington, D.C…………..334 mi.

Conference monies are provided by the Board of Education for professional staff members for the following reasons:

  • to participate in professional conferences, workshops, and clinics
  • to observe special curricular projects or methods of instruction
  • to consult with professional specialists

Activities in the above mentioned areas are means for providing individual staff members with the opportunity to grow professionally, to exchange professional ideas, to bring back to the district suggestions for improved educational opportunities. It is your professional responsibility to share the experiences of your conference with fellow teachers.

After receiving approval for attendance at a conference, all employees must submit a request for a school business day(s) to their supervisor with a copy of conference approval attached.

All forms sent to you at the time of approval, receipts, and Certificate of Conference Completion/Attendance should be forwarded to Lynn Zur as soon as possible after return from the conference for appropriate reimbursement.