San Jose/Evergreen Community College District
40 S. Market Street
San Jose, California 95113
Approval for Conference Attendance
Authorization for attendance at a professional conference is requested as follows:
Requestor:______________________________
Department:___________________
Employee Number:___________
Title of Conference:_______________________________
Location:_______________________________________
Sponsoring Organization:__________________________
Conference Dates:________________________________
Describe the anticipated benefits toward the organization’s goals: __________________________________________________________________
________________________________________________________________________________________________________________________
Will a paid substitute be needed? Yes No If yes, for what classes/dates: ________________________________
Estimated total expenses: $ _________ Maximum authorization: $ _____________
*Is advance payment of registration fees, or hotel required? Yes No (Cash advances are not given to employees)
If yes, include completed Request for Check (RFC) forms for each payment needed. Indicate on the RFC if you would prefer the checks be returned
to your business office, otherwise they will be mailed to the vendor. A copy of the approved conference request needs to accompany each
approved RFC.
APPROVED FOR ATTENDANCE
Administrative Supervisor ___________________________________________________ Ext _______ Date __________________
College President ___________________________________________________ Ext _______ Date __________________
Business Services ___________________________________________________ Ext _______ Date __________________
Request for Conference Expense Reimbursement
(This Part To Be Completed Upon Return from Conference For Travel Exceeding 24 Hours)
I certify that the following is a summary of necessary and actual expenses incurred by me in connection with my attendance at the above named
conference.
(_____ miles at ____ per mile. Check for current reimbursement rate. Include Google or other map)
(Detailed receipts attached, not to
exceed per diem limit)
Per Diem - Breakfast $15, Lunch $16, Dinner $28
(Attach Conference Schedule or Agenda)
Ticket was obtained from Dist. Travel Agent District CC
Paid by: District Credit Card District Check (Last 4 CC/Vchr _________ )
Paid by: District Credit Card District Check (Last 4 CC/Vchr _________ )
Paid by: District Credit Card District Check (Last 4 CC/Vchr _________ )
(Advance payment includes any expense paid with District CC, District Check or Travel Agent)
Signature of Requestor
(upon submission of expense reimbursement claim)
Date
APPROVED FOR PAYMENT
Administrative Supervisor
Reference AP 7400 Travel
Appendix 3