Professional Development Leave Request

Professional Development Leave Request
Important Note (Please read this information)

All professional development leave, regardless of it being building or district, must be approved by the district in advance of the training. By submitting this form I acknowledge that this training is meant to help improve student learning in Jefferson School District #251.

Registration and travel arrangements should NOT be made until you have received an e-mail notification stating your requested leave has been approved. It is recommended that requests for leave be made at least one month in advance.

Travel arrangements and registration should be made using building level credit cards. Reimbursement for expenditures will only be made when valid receipts are submitted. The district is not able to reimburse expenses without a receipt.
Per diem may be requested prior to attending the professional development by contacting the district office at least one week prior to the training.
Name*

First NameLast Name
Building*
Date of Leave*

MonthDayYear
Date
Type of Leave*
Conference/Training Title*
Conference/Training Location*
How will this training improve student learning?
How do you plan on measuring the impact of this training on student learning?
How will attendance at this training improve your school and district?
What do you plan to do to share your learning with your colleagues?
What funds will be used to pay for this training?*

Title ILEPBuildingTitle IISPEDDepartmentOther (please specify below)
If other funding, please specify
What is the anticipated cost of this training? (Including travel, substitutes, registration, materials, etc)*
Is a substitute teacher required?

YesNo
If yes, please code the leave in AEOSP or IVisions as either Building Professional Leave or District Professional Leave.
Email (enter your email twice for confirmation)

Confirmation Emailexample@example.com
Please verify that you are human*
Should be Empty: