Conference/Workshop Request Form - Act 93 AdminAct 93 Administrator Conference/Workshop Request Form Conference/Workshop Request IMPORTANT: Please use Chrome or Firefox to complete form and then submit. Email notification will automatically be sent to the Jr./Sr. High School Principal.Employee First NameEmployee Last NameDate of RequestConference LocationConference TitleDate(s) of ConferenceEstimated Reimbursable ExpensesTransportation - MilesTotal Cost Round Trip Transportation (miles x current rate)Conference Registration FeeLodging CostMiscellaneousDescribe any miscellaneous costs (from above) you are anticipatingTotal Estimated Reimbursable ExpensesContact the business office when prepayment for registration and/or lodging is requestedWill a substitute teacher be needed? Yes NoIf you chose yes to the question above - list dates a substitute teacher is requiredDescribe how this conference will address your individual professional development goals. *Note: First priority will be given to activities directly related to a staff member's employment/coaching assignment.Provide the website or URL to the conference activities or flyer. If you do not have this you must send an email to your principal with a flyer or brochure.Upon submission your request will be forwarded to the Jr./Sr. High School Principal.Submit Form