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SPECIAL EDUCATION ACRONYMS w link to MDE website
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Professional Development Request Form
First Name:
*
Last Name:
*
Phone Number:
*
Email:
*
Supervisor's Name:
*
Is your supervisor aware of your request:
*
Yes
No
Event Name:
*
Event Date(s):
*
/
/
Event Location, including state. REMINDER - out of state travel requires approval by MDE. Contact for the MDE form:
*
Attendance requested by:
*
Self
Supervisor
Executive Director
Description of event:
*
Registration process you are requesting:
*
If approved, I will self-register and request reimbursement.
I am requesting HVED to pay for my registration cost; minimum of 30 days advanced notice required..
If there is an early bird discount, list closing date for early bird registrations.:
Please list attendance comments, if any:
How will you be traveling:
*
I will use my assigned HVED RAV 4, (carries up to 5 people).
I will be requesting to use an HVED RAV 4, (carries up to 5 people)
I will be requesting to use an HVED van, (carries up to 10 people).
I will be using my personal car.
This trip requires a flight.
This is an online event and does not require travel
If carpooling, list who you will be carpooling with:
Lodging for this event:
*
This event does not require lodging.
If approved, I will pay for my lodging and request reimbursement.
I would like HVED to pay for my lodging; minimum of 30 days advanced noticed required.
If requesting HVED to make lodging reservation, please list contact information for the hotel you are requesting.:
Send me a copy of the completed form to this email address
*
: