Request For Professional Leave - Morgan County Schools
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1
2Morgan County Schools
Request for Professional Leave
Directions: Refer to regulations on back of form and complete the following:
Name ____________________________________
Location _____________________________________
Position ___________________________________
Employee ID # 95800 __ __ __ __
Reason for Request
attend educational meeting, workshop, or conference (Regulation A)
attend employee association meeting (Regulation B)
attend WVSSAC meeting (Regulation C)
participate as coach in state tournament or playoff (Regulation C)
Date(s) of Leave __________________________________________________________________________
Destination _______________________________________________________________________________
Travel Mode:
___ personal vehicle
___ county vehicle (if available)
___ Other _________________
If county vehicle requested:
Estimated Departure Date/Time ____________________
Return Date/Time ________________________
Expense Estimate
Subject to provisions of travel regulations
Travel Mileage (.575/mile or other)
$_________________________
Hotel (95/night)
$_________________________
Meal(s) maximum $35/day
$_________________________
Registration
$_________________________
Other (taxi, parking, tolls)
$_________________________
Substitute Costs
$_________________________
($110/day professional; $80/day service)
Total
$_________________________
Employee Signature _______________________________________ Date _________________________
Attach information/agenda related to request.
Submit to principal or supervisor.
Approved
If approved, funding available?
Yes
No
Denied
Source ___________________________ Amount $___________
Principal or Supervisor Signature ____________________________________ Date _________________
Denied – Return to Employee
Approved – Submit to superintendent’s office
Approved
Denied
Approval Code ______________________
Funding Source __________________________
County Vehicle Approved (if requested) __yes __no
Superintendent/Designee Signature ___________________________________ Date _________________
Outside the Area
Approved
Denied
Date of Board of Education Action ________________________________
Superintendent’s Signature __________________________________________ Date _________________
Copies:
Employee; Supervisor or Principal; Director; Finance Department
Form_-_Request_for_Professional_Leave
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Parent category: Business