Fillable STAFF PRIOR RELEASE TRAVEL REQUEST TRANSPORTATION (Auburn School District)

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STAFF PRIOR RELEASE TRAVEL REQUEST TRANSPORTATION (Auburn School District)

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STAFF PRIOR RELEASE
TRAVEL REQUEST
Request is hereby made to be released from regularly assigned duties:
☐Athletics/Activities ☐CTE ☐DSL ☐Other:______________
Name: ______________________________________ Name of Event/Trip: ______________________________
Destination: __________________________________ Address: _______________________________________
Purpose of trip: ________________________________________________________________________________
TRANSPORTATION
Mode of Transportation:
(rental, private or district car, plane, school bus, charter bus, etc.)
☐
Self
☐
Students (# of students:
______ )
Estimated Cost of Tr
ansportation: $ ___________________
Acct. Code for Transportation Cost: ____________________
LODGING
Name/Address of Lodging:
________________________
Estimated Cost of Lodging: $
______________________
Cost of Lodging Paid By: ________________________
Acct. Code for Lodging Cost: ______________________
☐ Full Day (# days:_____)
A substitute teacher is needed: ☐ Yes ☐ No ☐ Half-Day (☐AM ☐PM )
Salary Account # for sub: __________________________ (must provide if “Yes” is checked)
Staff and/or Chaperones: Name & Position Sub Needed Sub Account #
(teacher/advisor, parent, coach, para, etc.) Yes No
☐ __________________
☐ __________________
☐ __________________
☐ __________________
1) __________________ _____________ ☐
2) __________________ _____________ ☐
3) __________________ _____________ ☐
4) __________________ _____________ ☐
5) __________________ _____________ ☐
☐ __________________
________________________________ _________ ______________________________ _________
Staff Signature Date Superintendent Designee Signature Date
________________________________ _________
Building Administrator Signature Date
________________________________ _________
Building Athletic/Activity Signature Date
________________________________ _________
District Administrator Signature Date
**SUBMIT 5 WEEKS PRIOR TO TRAVEL**
Staff/Student Overnight ☐
Staff/Student Out of State
☐
Day Trip Only ☐
MEALS
Estimated Cost of Meals: $
_______________________
Cost of Meals Paid By:
_________________________
Acct. Code for Meal Cost: _______________________
MISCELLANEOUS
Miscellaneous (itemize): ______________________________
Acct. Code for Misc. Cost: ____________________________
Date(s) of Release & Travel
TOTAL FOR ALL:
$_____________________________
Travel Credit Card Needed?
☐
Yes
☐
No
If “yes,” planned travel card expenditures? $____________
SCHOOL BOARD AUTHORIZATION IS REQUIRED
FOR OUT-OF-STATE/OVERNIGHT TRAVEL:
__________________________________ _________
Sc
hool Board Approval Signature Date
EXPENSES TO BE BILLED TO:
Organization: ____________________
Originator: ______________________
Address: ________________________
City/State: ______________________
Zip Code: _______________________
Updated 1/09/17
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STAFF PRIOR RELEASE TRAVEL REQUEST TRANSPORTATION (Auburn School District)

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Completed 15 March 2022

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