Requests for Professional Development Funds

NOTE: This form must be completed and permission granted before payment will be approved.

Teacher Name

First Name

Last Name

Date of Request

YYYY

Date(s) of Professional Development Event

Anticipated Total Cost of Event or Purchase

Cost Requested Is

An Estimate

Exact Amount

Preferred Method of Payment

School pays vendor(s) directly - Please complete check request form(s)

School pays vendor(s) directly where possible and reimbursement for associated costs (travel, meals, etc) - Receipt(s) required.

Reimbursement Only - Receipts required

Name of Event or Purchase

(i.e., iPad Webinar, subscription, book, etc.)

Purpose or Intended Benefit to You