Continuing Education Request Form

Name(Required)

First Last

Email(Required)

Conference/Training Title (include website/link)(Required)

Conference/Training Sponsor/Provider

Conference Dates(Required)

Which sessions do you plan to attend?

How will attending this conference support your work?(Required)

Will other Library staff attend?

Registration Cost

Travel Cost estimate (airfare, mileage, etc)

Accommodation Cost estimate (if applicable)

Other Cost estimate (parking, transportation)

Total Cost (estimate)

Which manager would you like to send the form to?(Required)

Gloria Chavira

Peggy Parrish

Amy Sieving

Jill Wilson

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