PD Request - Piute County School District

The purpose of this form is to organize the professional development efforts of our school district. It is in no way is intended to hinder or limit professional development, but merely to track and account for professional development. The school district wishes to provide additional professional development where ever possible and hopes that by organizing our efforts we will be able to more accurately focus

Employee Information

First Name*

Last Name*

Phone Number*

Email Address (ending in @piutek12.org)*

Professional Development Training Details

What is the title of the training, workshop, or conference?*

Please briefly describe the training, workshop, or conference? (512 chars left)*

What do you hope to gain from this training, workshop, or conference? (512 chars left)*

On what days will the training, workshop, or conference take place?*

How many days or hours would a substitute be required?*

Where will the training, workshop, or conference take place?*

Will your training, workshop, or conference require a hotel room?* Yes No

If Required How Many Nights?*

Will you need a district vehicle or will you be requesting a mileage per diem?* District Car Miles Per Diem Not Applicable

Will you be requesting meals per diem? (Meals provided at the training, workshop, or conference or meals provided by a hotel or sponsor are ineligible for per diems)* Yes No

How Many Breakfast?*

How Many Lunch?*

How Many Dinner?*

Is there any special funding attached to this training, workshop, or conference? (CTE, Migrant, Special Education, etc)*

Check This Box If Gloria Needs To Register Or Reserve Anything For This Request

Information If Request Is Approved And You Have Selected To Have Gloria Registrer Or Reserve

If you need a district vehicle you need to submit a vehicle request.

You need to email Gloria any forms or flyers you have for registration. Questions? Call Gloria

Items You Would Like Gloria To Do: Conference Needs To Be Registered
Hotel Reservations Need To Be Made

Registration Details

Website for registration.

Other contact details for registration

Hotel Information

Name and details of hotel

Check In Date

Check Out Date

Thanks for taking the time to list the details for your Professional Development Training Request.

Your request has been sent to the district office for approval. This will usually take 1-2 business days to complete.

You will be notified if approved or denied. If there is any questions that need clarification you will recieve an email with the questions needing clarification.

Thanks once again for your request.

Professional Development Request

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