We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Workshop or Conference Request Form

Workshop or Conference Request

Please do not register for any conferences or workshops. In most cases, you will be registered by the District Office, unless you are notified via email otherwise.

Before completing this form, please be sure you have the following:

prior verbal approval from your supervisor
a link to the workshop/conference announcement that includes dates, fees, and a description of content

Workshop & Conference Requests must be made at least two (2) weeks prior to the event to allow time for processing. If the conference request requires travel, hotel, and other expenses, please submit at least one (1) month in advance.

1. Full Name: *This question is required.

2. Email: *This question is required. This question requires a valid email address.

4. Details regarding the conference or workshop: *This question is required.

Name of Conference/Workshop:
Dates:
Location:
Web address to event/agenda:

5. NYS Teaching Standards Addressed: *This question is required.

1: Knowledge of Students & Student Learning
2: Knowledge of Content & Instructional Planning
3: Instructional Practice
4: Learning Environment
5: Assessment of Learning
6: Professional Responsibilities
7: Professional Growth
Not applicable
Other - Write In Please enter an 'other' value for this selection.

6. How will this workshop/conference improve your curriculum and/or instruction? *This question is required.

7. Will you need a substitute? *This question is required.

8. Conference Registration & Fees *This question is required.

Conference Registration Fee:
Link to workshop/conference registration information or form:
Check payable to (name & address):

9. Lodging Expenses

Arrival date/time:
Departure date/time:
Number of nights stay:
Hotel information & rate:

10. Food & Travel Expenses

# of Breakfasts:
# of Lunches:
# of Dinners:
Misc.:

11. Transportation Needs: *This question is required.

None
Use of District Van
Mileage Reimbursement (only if District Van not available)
Flight or Rail Travel
Additional information - miles to/from CLV campus to location; flight/train information and fare, etc. Please enter an 'other' value for this selection.

12. OFFICE USE ONLY - Approval: Signature/Date

Principal:
Business Office (if $$):
Superintendent: (if $$):