Fillable AC-9 Form (Crafton Hills College)

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AC-9 Form (Crafton Hills College)

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SAN BERNARDINO COMMUNITY COLLEGE DISTRICT
REQUEST FOR CONFERENCE ATTENDANCE
1. Name of Employee___________________________________________Campus_________Div._________________
2. Name of Conference_______________________________________________________________________________
3. Agency Sponsoring Conference_____________________________________________________________________
4. Conference Location: City_____________________________ State______________________________
5. Conference Schedule: Start Date_______________________ Finish Date__________________________
6. Dates on which employee will be traveling and attending conference (include weekends and holidays):
Beginning Date____________________________ Ending Date____________________________
7. Will paid substitute be required: Yes__________ No__________
8. Purposes and anticipated value to the District which will be derived from attendance:
9. Funds for this conference are being compensated and have been approved by:
( ) Staff Development $_______________ ( ) Academic Senate $_______________
( ) Other)_________________________________________________ $_______________
Budget No.____________________________________________
[Transportation $________ Registration $________ Hotel $________ Meals $________ Total $________]
10. Signature of applicant__________________________________________________ Date__________________
____________________________________________
11. This section to be completed by appropriate Division Dean, Vice President and College President/Administrator:
( ) Approved ( ) Not Approved
Division Dean____________________________________________________________________________________ ___
Vice President_______________________________________________________________________________________
President/Administrator______________________________________________________________________________
Board Approval Date____________________________
(This request must have PRIOR APPROVAL by the SBCCD Board of Trustees if the conference is out of state
and/or exceeds $1,000.00)
Form AC-9 Copies: White-President/Administrator Yellow-Vice President Pink-Responsibility Center Gold-Employee
(Revised 2008)
This meeting is to develop an outreach partnership with the College of Natural and Agriculture Sciences
College at the University of California, Riverside
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AC-9 Form (Crafton Hills College)

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Completed 22 July 2020

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