Auburn City Schools
Professional Development Report for Out-of-District Activities

* represents fields that require information to be entered



*First Name:            *Last Name:   

*School:        If other, please list:   

*Position:    

*Activity:   

*Location of activity:   

*Purpose of activity:   

*Impact on your job:   

*Plan for disseminating information:

        *Date:                    *Time:   

        *Place:           *Audience:   

If written information is provided for the audience, please forward a copy of the report to Joyce Morgan at Central Office.

Recommendation for other ACS personnel to attend this conference:

            Recommended            Not Recommended            Maybe Recommended

Explain your answer:




Expenses paid by the Auburn City Schools:

Hotel:
Meals:
Transportation:
Substitute:
Other:


This report does not replace the Professional Leave form. Prior approval by employee’s supervisor must be recorded before attending an activity. Upon returning, employee is responsible for submitting a request for reimbursement on the approved Professional Development form.

Forms are to be completed and submitted within five days of the activity.