Out of Area Professional Development Request
Request Details
First Name
Last Name
DAC Email Address
11.4.8 Training Title - Official Title of training, workshop, or conference
Training Begin Date
Training End Date
Total # Days in Training
Accounting Class(es)
Please select...
Access
Administrative
Communication - Other
Communication - CART
Communication - External Staff
Communication - IAC
Communication - Internal Staff
Communication - VRI - External
Communication - VRI - Internal
Communication - Workshop
Community Classes
Fundraising
Housing Navigator
Information & Referral
Interpreting
Martha's Vineyard Place
Senior Center Operations
STAP3
Technology
Vaccine Outreach
YETS
Accounting Allocation(s)
Please select...
9154 Marketing and Promotional Items
9440 Meals/Entertainment
9700 Organization Dues
9800 Miscellaneous Expense
9472 Registration/Tuition
9401 Office/Maintenance Equipmen
9402 Equipment Rental
9410 Computer Maintenance
9411 Software Expense
9412 Website design & ope
9413 Computer Support
9415 Computer Equipment
9419 IVC Equipment
9456 Parking/Tolls/Uber
9465A Local Transportation Misc
9468 Mileage
9303 Repairs and Maint.
9305 Electric
9316 Cable Expense
9335 Janitorial and Cleaning Exp
9202 Books & Teaching Supplies
9203 Postage & Delivery
9204 Office Supplies
9205 Printing and Publications
9207 Dues & Subscriptions
9208 Assisted Hearing Devices (SADS)
9209 Misc Supplies
Workshop Details
In-Scope Workshop #1
Title, Full Date, Start Time, End Time
In-Scope Workshop #2
Title, Full Date, Start Time, End Time
In-Scope Workshop #3
Title, Full Date, Start Time, End Time
In-Scope Workshop #4
Title, Full Date, Start Time, End Time
In-Scope Workshop #5
Title, Full Date, Start Time, End Time
In-Scope Workshop #6
Title, Full Date, Start Time, End Time
Additional In-Scope Workshops
Total # Hours Attending In-Scope Workshops
Total number of hours (in 15-minute increments) of training attended in scope
Travel Expense Details
Total Registration Cost of Training/Conference/Workshop: $
Name & Address of Hotel you will be staying at during conference
Check In Date
Check Out Date
Total # Nights Staying in Hotel
Nightly Rate for Hotel (estimated): $
Total Cost for Hotel (estimated): $
Flying or Driving?
Flying
Driving
Total number of days spent travelling
Estimated Cost of Flight, if Flying: $
Estimated # of Hours, if Driving
Please select:
Drive is MORE than 8 hours
Drive is LESS than 8 hours
# Miles (Both ways)
IRS Mileage Reimbursement Amount
En Route Hotel if drive is more than 8 hours
Name and Address of in route hotel(s)
Total Cost for Hotels in route (estimated): $
Total Cost of Training/Conference Workshop, including estimated travel costs
Contact Information