Orleans Central Supervisory Union
Professional Activity Request
Please only use Blue or Black ink
Name:__________________________ School:________________________ Date:____________
Activity:______________________ workshop
conference seminar
(circle one)
Dates of Activity: ___________________ Attendance:
Mandatory
Optional
Sponsor:___________________________________ #Credits:_____________
Location of Activity:_______________________________________________________________
How will attendance at this event benefit you, your students, and/or
the school?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
I will share materials/information with:_____________________________________________
| Support Requested: |
___ Cost
___ Prof. Leave
___ Registration Fee
___ Other Expenses |
Amount:_______
# of Days:_______
Amount:_______
Amount:_______ |
Principal: Please complete the following:
Budget Code:_____________________________
Date:_______________________ Approval:_______________________
principal
Approval Comments/Conditions:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Date:_______________________ Signature:_______________________
Superintendent
|
