Union City Area School District
REQUEST FOR PROFESSIONAL DEVELOPMENT
- CONFERENCE, SEMINAR OR WORKSHOP -
NAME __________________________________________ DATE _______________________
**ONE FORM PER PERSON *** DO NOT REGISTER UNTIL YOU RECEIVE NOTIFICATION OF APPROVAL**
Step 1: STAFF MEMBER: Information on the conference, seminar or workshop must be attached. Approval by
Principal and Director of Curriculum is necessary before registering for any event. Also please include preferred lodging
Name of event: ______________________________________________________________
Date(s) of event: ______________________________________________________________
Where is the event being held? ___________________________________________________
A substitute is needed for _______ day(s). (Fill out Step 2 “Leave Request Form”down below.)
Registration fee: _________________ Roundtrip mileage from Union City: _________________
Preferred Lodging: _________________________________________ Est. Cost ____________
Booking dates needed: ____________________________________________________________
How are you required to register for this event?
paper “CourseWhere” (IU) Other _________________________
CONFERENCE INFORMATION MUST BE ATTACHED.
(Retain copy of this form and attachments.)
SUBMIT TO PRINCIPAL Do not register until you receive notification of approval.
Step 2: Leave Request Form
I will need a substitute for the following dates: _________________________________________
Employee signature Date
Step 3: PRINCIPAL: Please review above request and approve or deny. (please circle)
Principal’s signature: ___________________________________ APPROVE DENY
Return denials to staff member. Send approvals (with required attachment) to the Dir. Of Curriculum’s office.
Step 4: DIRECTOR OF CURRICULUM (please circle)
Event Approved Event Denied
Dir. Of Curriculum or Designee’s Signature
Revised 5/2/19 See attached travel info on reverse side