Form Section Instructions Required Fields   (must be completed)
Activity/Course Information Enter the title of the activity/course, the course number, a description of the activity and the activity website address
  • Activity/Course Title
  • Description
Inclusive Dates, Times, Locations

Complete this section in this order:

  1. Meeting 1 Date (Start date of activity)
  2. Start & End Time of Activity
  3. Meeting #1 Location
  4. # of Meetings

If the activity is for more than one day, once you enter the “# of Meetings”, the form will create duplicate fields for each activity day.  The “Start & End Time of Activity” and “Meeting Location” fields will be pre-filled with the information that was entered.  Enter the dates of the activity in each “Meeting # Date” field.

If you are taking an online course:

  1. In the “Meeting Date” field(s), type in the Monday date for each week that the course runs.
  2. In the “Start & End Time of Activity” field, enter a start and end time that will total the estimated number of hours that you will be spending on the course per week.
  3. In the “Meeting Location” field, enter Online course – hours flexible.
  • Meeting 1 Date
  • Start & End Time
  • Meeting #1 Location
Hours Complete this field if you are requesting professional development hours (other than professional advancement credit).  
Sub Information

Use this section to indicate whether and when a substitute teacher, nurse, EA, etc. is needed.  This field is primarily for staff  attending an activity during school hours.
Sponsoring Institution, School, Vendor, Provider

Select the Sponsoring Institution from the drop down menu.  The Sponsoring Institution is the organization that is running the activity/course.

If “Other” is selected, type in the name of the organization in the next field, “If NOT On List Enter Here”.

If the organization is a school, type in the school’s address.

If you are seeking PAC (Professional Advancement Credit), it is the staff’s kuleana to check and affirm that the school is accredited per the KS 470 (C) accreditation policy.  The accreditation link is located on the HR Home Page in Staff Development.
  • Provider

Form Section Instructions Required Fields (must be completed)
Expenses

Cost Center:
Enter the Cost Center if you are attending an activity such as a conference or workshop that will be paid or partially paid for by KS pre or post activity.  (The Administrative Coordinator of your unit can tell you the cost center number to use).

**Enter “0” (zero) if there is no cost to be paid by KS.
  • Cost Center

Course Credit

Complete this section if you are taking a course for credit. 

**Enter “0” (zero) for all fields that do not apply.

If you are seeking tuition reimbursement, complete the “Tuition rate per (credit) hour” field. This should be the actual tuition rate per credit.

In the “Tuition Reimbursement requested” field, enter a dollar amount. This should be the applicable tuition reimbursement rate allowable per KS Policy.

Check whether the course is for B Credit.
  • Credits
  • Tuition rate per credit
  • Tuition Reimbursement requested
Registration Expenses

Complete this section if there is a registration fee for attending a:

  • course for credit
  • workshop, conference or other activity
**Enter “0” (zero) for all fields that do not apply.
  • Registration Fee
  • Registration Fee Due By
  • Make Check Payable To
Estimated Expenses

Complete this section if travel expenses will be incurred and you are seeking reimbursement for air, lodging, meals and other related expenses.

(Use the Comments section at the bottom of the form to indicate air carrier, lodging, etc. preferences.)

**Enter “0” (zero) for all fields that do not apply.

  

Form Section Instructions Required Fields   (must be completed)
Payment to Staff

Select a payment type from the drop-down menu:

No cost – You are not seeking reimbursement or there is no cost involved in attending the activity.

Reimbursement – You are requesting reimbursement for activity expenses after you attend the activity.

Travel Advance – You are requesting an advance for activity expenses before you attend the activity.
  • Payment Type
Purpose(s)

These Purposes items are Enterprise categories.

Check one or more Purposes related to the reason for attending the activity.
  • One or more Purpose(s) check box(es)
Goal(s) & Objective(s)

The Goal(s) & Objective(s) items are defined at the Unit level as focus areas.

Check one or more Goal(s) & Objective(s) related to the reason for attending the activity.
  • One or more Goal(s) and Objective(s) check box(es)
Justification for Staff Development Activity

Check one or more Criteria related to the reason for attending the activity.

Include a paragraph on what knowledge/skills you will acquire and how this relates to  the checked Criteria and/or Goal(s) & Objective(s).
  • Check Criteria
  • What knowledge/skills will you acquire...
Comments

Use this field to type in information related to your activity request that your approver should know about.