CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
Office of Business Services
Conference Leave: Request Form
Staff member(s): _______________________________________________________________
Conference title: _______________________________________________________________
(Note: please do not use abbreviations in form)
Date(s): ______________________________ Location: ____________________________
Sponsoring group: ______________________________________________________________
Purpose and contribution to Chabot-Las Positas Community College District?
(Please indicate any official position held which requires or makes desirable your attendance)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Estimated total cost of attendance, including transportation: $____________________________
List dates and classes requiring substitutes:
_________________________ _______________________________________________
_________________________
_______________________________________________
_________________________
_______________________________________________
Signature: __________________________________________________ Date: ____/____/____
Reimbursement for expenses for
conference and meeting attendance – see Administrative
Procedure (AP) 7400.
FOR OFFICE USE
Approval:
Division Dean signature: ______________________________________________ Date: ____/____/____
Vice Pres. or Vice Chancellor signature: __________________________________ Date: ____/____/____
President / Chancellor signature: ________________________________________ Date: ____/____/____
Cost is chargeable to division budget:
Yes : (labor distribution account) _____________-_____________-____________-______________
No
No cost to District
Maximum total reimbursement allowed:
Actual and necessary expenses
Limited to $________________
Routing: Original – Business office Copies: Academic Services
Division office
Staff member(s)
Reference:
Article 29E.3 – Faculty Collective Bargaining Agreement
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