ࡱ>  XbjbjBrBr 6  a RR|%<!a{{{{R (  w#&P ] |R {{Q! {{ {Rb g!0! i' i' i' $ ! i' R [:   FORMTEXT      LOS ANGELES COMMUNITY COLLEGE DISTRICT FORMTEXT      Encumbrance/DOC #DIVISION OF HUMAN RESOURCESReference/TP # REQUEST FOR CONFERENCE OR ACTIVITY ATTENDANCE Directions: Submit request to President or Division Head. Attach conference or activity program, announcement or other descriptive document.1.Name of Employee FORMTEXT      Emply. # FORMTEXT      CollegePIERCE COLLEGEJob Title FORMTEXT        FORMCHECKBOX  Certificated  FORMCHECKBOX  Classified2.Name of Conference or Activity  FORMTEXT      3.Sponsoring Agency  FORMTEXT      4.Conference/Activity Location:City FORMTEXT      State FORMTEXT      5.Conference/Activity Schedule:Opening Date FORMTEXT      Closing Date FORMTEXT      6.Dates on which employee will be traveling and attending conference or activity (include weekends and holidays):Beginning Date FORMTEXT      Ending Date  FORMTEXT      7.Will paid substitute be requiredYesNoX8.Purposes and anticipated value to the District which will be derived from attendance: FORMTEXT      9.Indicate additional assignments:TitleLocationWill paid substitute be required?YesNoX10.Estimate amount of expense requested:Transportation $  FORMTEXT      Hotels & Meals $ FORMTEXT      (10.1)Registration Fee $  FORMTEXT      Incidentals $ FORMTEXT      TOTAL $  FORMTEXT      10.1  FORMCHECK&(*xz    " ~ 輴}}s}sh]h5CJOJQJh5CJOJQJhCJOJQJhB*CJOJQJphh5B*CJOJQJphjhUmHnHujvhUjhUh5@OJQJ"jhOJQJUmHnHujhOJQJUhOJQJjhOJQJUh*x Rkd$$IfF "x, P     a $$Ifa$ $<$Ifa$ " ~ h``Z$Ifh$If1kd$$IfL,D,D,a $<$Ifa$$<xa$Rkd~$$IfF "x, P     a ~ ĺҪzp_zKzp;jh5CJOJQJU&jhCJOJQJUmHnHu!jZhCJOJQJUhCJOJQJjhCJOJQJUhCJOJQJhCJOJQJhB*CJOJQJphh5B*CJOJQJphhCJOJQJhB*CJOJQJph/jhB*CJOJQJUmHnHphu)jh5CJOJQJUmHnHu 2 B ` b d >6x$IfkdF$$If֞Z|rL,R]  D,a $$Ifa$$If $h$Ifa$ " $ . 0 2 B N P ^ ` d x z ѼysfyVysRJR?jhUjhUhjhCJUmHnHujNhCJU hCJjhCJUhCJOJQJh5OJQJh5B*OJQJphh5B*OJQJphhCJOJQJ)jh5CJOJQJUmHnHujh5CJOJQJU$jh5CJOJQJUh5CJOJQJd x . 0 6 t $Ifjkd$$If\ZL,R] D,ax$If$If      , . 6 t v x Ͳͨ㢘ucZPh5B*phh6OJQJ"jhOJQJUmHnHujJhOJQJUjhOJQJUhOJQJhCJOJQJ hCJhCJOJQJj6hOJQJUjhOJQJUhOJQJh5B*OJQJphh5B*CJOJQJphhjhU 8 IWkd$$IfFZL,RxzD,    ax$IfWkd$$IfFZL,RxzD,    a B D X Z \ f h j v x 縮qgbUgFgbjh5UmHnHujh5U h5jh5U&jhCJOJQJUmHnHu!j:hCJOJQJUhCJOJQJjhCJOJQJUhCJOJQJhCJOJQJ&jh5B*UmHnHphu!jBh5B*Uphh5B*phjh5B*Uph8 B j v $Vkd" $$IfֈZ ^!L,Rp  8 D,ax$If$If $x$Ifa$  "$>@TVXbdfnNRpr{kY{K{h5B*OJQJph#jhB*UmHnHphuj" hB*UphhB*phjhB*UphhCJOJQJhCJOJQJ!jx h5B*UphhB*CJOJQJph&jh5B*UmHnHphujh5B*Uph!j h5B*Uphh5B*ph$>fhnNgkd $$IfֈZ ^!L,Rp  8 D,ax$IfNPRp$Ifx$IfDkd $$If0ZL,R*D,a,.48<@H "$&ɻ~o~]~SGh5B*CJphhCJOJQJ"jhOJQJUmHnHuj|hOJQJUjhOJQJUhOJQJhCJOJQJh5CJOJQJhCJOJQJhCJOJQJhB*CJOJQJphhB*ph#jhB*UmHnHphujhB*Uphj hB*Uph$,.48:zzozodz $x$Ifa$ $x$Ifa$x$If}kd $$IfrZ<L,R]>,a:<>@\TTx$Ifkd $$If֞Z $L,R1 IvD,a@BH oga$If<$IfDkd$$If0ZL,R*D,ax$IfDkd$$If0ZL,R*D,a "$&(.p|~laVV $<$Ifa$ $<$Ifa$Gkd^$$If40ZL,R*D,af4<$IfDkd$$If0ZL,R*D,a &.LNRTVXZ\^`bdӲӤӤӤӲu_*jhB*CJOJQJUphhB*CJOJQJph$jhB*CJOJQJUphh5B*OJQJphhB*CJOJQJphh5B*CJOJQJph!h56B* CJOJQJphhCJOJQJ h5CJhOJQJhCJOJQJhCJOJQJg\QK$If $<$Ifa$ $<$Ifa$kd$$IfֈZ\ L,R ~@ eD,a<$IfTkd$$If֞Z \L,R1 r D,a<$IfLNPRTVXZ\odddd $<$Ifa$Dkd $$If0ZL,R*D,a<$IfDkd$$If0ZL,R*D,a \^`bd<$If $<$Ifa$dfkdj$$Ifd ZI :"$'L,Rc c@TD,,,,,afh0Zv $x$Ifa$<$If $x$Ifa$ $<$Ifa$  024HJLVXZvxƼug_Nu!jhCJOJQJUhOJQJhB*CJOJQJph&jhCJOJQJUmHnHu!j hCJOJQJUhCJOJQJjhCJOJQJUhCJOJQJhCJOJQJhB*CJOJQJph$jhB*CJOJQJUph/jhB*CJOJQJUmHnHphu¸lTF3F$jhB*CJOJQJUphhB*CJOJQJph/jhB*CJOJQJUmHnHphu)jh5CJOJQJUmHnHu$jlh5CJOJQJUh5CJOJQJjh5CJOJQJUh5OJQJhCJOJQJhCJOJQJ&jhCJOJQJUmHnHujhCJOJQJU!jhCJOJQJUkd$$If ZI :4!@%(L,Rc   K = < D,,,,,aPPPPPQ0QFkd$$If0ZL,R*D,a<$IfBOX  Check this box if you want the District to pay your Registration Fee directly to vendor. 11.Signature of Applicant:Date FORMTEXT       12.This section to be completed by College President or Division Head:a.  FORMCHECKBOX  Refer to Chancellor  FORMCHECKBOX  Rejectedb.  FORMCHECKBOX  General Funds  FORMCHECKBOX  Special Funds  FORMCHECKBOX  Account Numberc. Amount of Conference expense recommended $  FORMTEXT      P000 -  FORMTEXT       -  FORMTEXT       - 586100NOTE Receipts are due (2) weeks after Conference along with the travel expense claim form Signature of Division HeadDate 13.This section to be completed by Chancellor or President/Division Head: FORMCHECKBOX  Recommended with expenses recommended in item #12 FORMCHECKBOX  Not Recommended Enc. Amount  President of CollegeDateAccount  CFA Date Processing Date  PP P PPPPPQ QQ Q"Q,Q.Q0Q2QQ"R︮oWI?hCJOJQJhB*CJOJQJph/jhB*CJOJQJUmHnHphu*jJhB*CJOJQJUphhB*CJOJQJph$jhB*CJOJQJUphhOJQJhCJOJQJhB*CJOJQJph$jhB*CJOJQJUph*jphB*CJOJQJUphhB*CJOJQJphU0Q2Q4QQQQxx4xDkd$$If0ZL,R*D,a<$Ifkd$$IfrZj!L,RN  D,aQRRRRRDSSSSS*T $x$Ifa$x$IfDkd$$If0ZL,R*D,a<$If "R$R@RBRDRzR|RRRRRRRRRSS"S$S&SNSPSlSnSpSSSTTTveYhB*OJQJph jhB*OJQJUphhB*CJOJQJphhB*CJOJQJph!j.hCJOJQJU!jhCJOJQJU!jFhCJOJQJU!jhCJOJQJU!j^hCJOJQJUhCJOJQJjhCJOJQJUTTT&T(T*T4T>TFTHT\T^T`TjTlTzT|TTTTTTTT۷jR=R)jh5B*OJQJUph.jh5B*OJQJUmHnHphu)jh5B*OJQJUph#jh5B*OJQJUphh5B*OJQJphh5B*OJQJphhCJOJQJhB*CJOJQJph+jhB*OJQJUmHnHphu jhB*OJQJUph&jhB*OJQJUph*T,T.T0T2T4TTWOGGG< $x$Ifa$x$If<$Ifkd$$If4֞Z\  #Y$L,`R` `#`U``D,af4TTTTTTvUxUODDDD $<$Ifa$kd$$If4֞Z\  #Y$L, R  # U  D,af4<$IfTTTTTvUxUzU~UUUUUUUUUUUUUVVVVVVVVο}o}oeYJYja%hOJQJUjhOJQJUhCJOJQJhB* CJOJQJph!h56B* CJOJQJphhOJQJhCJOJQJhB*CJOJQJph!h5:B*CJOJQJphh5>*B*OJQJph1jh5>*B*OJQJUmHnHphuhCJOJQJhB*CJOJQJphxUzU|U~UUUUUUUUUUjkd!$$If4r ^"Y$L,` D,af4 d<$If<$If UUUUUUUUUWOOOOOOO<$Ifkd!$$If4,֞ ,"O"Y$L,  `$ `6`#` D,af4UUUUUUUUUUWOOOOOOOO<$Ifkd"$$If4,֞ ,"O"Y$L,  $ 6 #  D,af4 UUUVG??<$Ifkd#$$If2ִZ\  ,"O"Y$L,R ## D,    aVVVWWWWW<$IfDkd$$$If0ZL,R*D,aVW W"W>ٰWW,2ʳճճݳ???77<$If$Ifkd($$Ifִ$(<P"#$L, j8D,    aXXZX\X^X`X<$If`XbXdXlXnX4,,,<$Ifkd)$$If $(<" #$L, hL QD,$$$$anXpX|X~XXXXX $<$Ifa$<$IfXXXXXXXXG??????<$Ifkd*$$Ifִ @ ,x""L,hLSs D,    aXXXXX.kd+$$If  @ x""$L,hlSD,$$$$a<$IfXX4&P1h/R / =!"#@$% vDText40vDText41$$If!vh5 5P5 #v #vP#v :V 5 5P5 / / 4a$$If!vh5 5P5 #v #vP#v :V 5 5P5 / / 4aH$$If!vh5D,#vD,:V D,5D,4avDText36vDText37$$If!vh5R5]5 5555 #vR#v]#v #v#v#v#v :V D,,,5R5]5 5555 / / / 4atDText4tDeCheck1tDeCheck2$$If!vh5R5]55 #vR#v]#v#v :V D,,5R5]55 / 4atD2Text5$$If!vh5R5x5z#vR#vx#vz:V D,5R5x5z/ 4atD2Text6$$If!vh5R5x5z#vR#vx#vz:V D,5R5x5z/ 4atDText7tDText8$$If!vh5R5p 55 585 #vR#vp #v#v #v8#v :V D,5R5p 55 585 / / / 4atDText9vDText10$$If!vh5R5p 55 585 #vR#vp #v#v #v8#v :V D,5R5p 55 585 / / 4a^$$If!vh5R5*#vR#v*:V D,5R5*4avDText11vDText31$$If!vh5R5]555>#vR#v]#v#v#v>:V D,5R5]555>/ / 4a$$If!vh5R51 5I5555v#vR#v1 #vI#v#v#v#vv:V D,,5R51 5I5555v/ / 4a^$$If!vh5R5*#vR#v*:V D,5R5*4a^$$If!vh5R5*#vR#v*:V D,5R5*4atD&Text1l$$If!vh5R5*#vR#v*:V D,5R5*/ 4ar$$If!vh5R5*#vR#v*:V 4D,5R5*/ 4af4$$If!vh5R5 5~5@ 5e5#vR#v #v~#v@ #ve#v:V D,,5R5 5~5@ 5e5/ / / 4a$$If!vh5R51 55r555 #vR#v1 #v#vr#v#v#v :V D,,5R51 55r555 / / 4a^$$If!vh5R5*#vR#v*:V D,5R5*4a^$$If!vh5R5*#vR#v*:V D,5R5*4a($$If!v h5R55c5 5555c5 @5 5 T#vR#v#vc#v #v#v#v#vc#v @#v #v T:V dD,5R55c5 5555c5 @5 5 T4avDText13vDText14vDText15vDText16vD Text17$$If!v h5R55c5 555K5=5 5 5 <#vR#v#vc#v #v#v#vK#v=#v #v #v <:V D,,,,, , 5R55c5 555K5=5 5 5 </  /  /  /   /  4avDeCheck11b$$If!vh5R5*#vR#v*:V D,5R5*4avDText19$$If!vh5R5N555 #vR#vN#v#v#v :V D,5R5N555 /  /  4al$$If!vh5R5*#vR#v*:V D,5R5*/ 4al$$If!vh5R5*#vR#v*:V D,5R5*/ 4atDeCheck3tDeCheck4tDeCheck5tDeCheck6vDeCheck10vD Text27$$If!vh5R5 5#5U555#vR#v #v##vU#v#v#v:V 4D,++++++5R5 5#5U5554af4vDText38vDText39$$If!vh5R5 5#5U555#vR#v #v##vU#v#v#v:V 4D,++++++5R5 5#5U555/ / 4af4$$If!vh5 5555#v #v#v#v#v:V 4D,+5 5555/ / 4af4$$If!vh5 55$ 565#5 5#v #v#v$ #v6#v##v #v:V 4,D,+++++,,5 55$ 565#5 5/ / 4af4$$If!vh5 55$ 565#5 5#v #v#v$ #v6#v##v #v:V 4,D,+++++,,5 55$ 565#5 54af4$$If!vh5R5 5#555#5 5#vR#v #v##v#v#v##v #v:V 2D,,,5R5 5#555#5 5/ 4al$$If!vh5R5*#vR#v*:V D,5R5*/ 4atDeCheck7$$If!vh5R55< 5#5 5#vR#v#v< #v##v #v:V D,5R55< 5#5 54atDeCheck8$$If!vh5R55< 5#5 5#vR#v#v< #v##v #v:V D,5R55< 5#5 54a$$If!vh5 55585F5#v #v#v#v8#vF#v:V D,5 55585F5/ / 4a$$If!vh55 555j5855#v#v #v#vj#v8#v#v:V D,55 55j5855/ / 4a $$If!v h55 55h5L5 5Q55 #v#v #v#vh#vL#v #vQ#v#v :V D,55 55h5L5 5Q55 / 4a$$If!vh555h55L55S5s #v#v#vh#v#vL#v#vS#vs :V D,555h55L55S5s / / / 4a0$$If!v h555h55l55S55 #v#v#vh#v#vl#v#vS#v#v :V D,555h55l55S55 / / /  / 4a^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH @@@  Heading 2 $@&5aJT@T  Heading 3 $x@&5B*CJOJQJaJphT@T  Heading 4 $x@&5B*CJOJQJaJphR@R  Heading 5$$<@&a$5CJOJQJaJN@N  Heading 7$$<@&a$5OJQJaJDA D Default Paragraph FontVi@V 0 Table Normal :V 44 la (k ( 0No List HH  Balloon TextCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] a ~ &"RTTVX $%-014: d 8 $N:@ \df0QQ*TTxUUUUVWlWW?@ABCD <HNhtz;GMfrx +1|FRXkw}!=M]m #/5=IOF V a FFFFFG$G$FFFFFFFtFtFtFFFtFFG FG$G$G$G$G FFFG$G$H34 3@3F(    <E333#"  `?  B33333#"  `?\B  S D"?\B  S D"?\B " S D"?\B # S D"?h" 3 c $H333#"  `?B S  ?]^a " "t t#8&'tt3o$#tl std st!Text40Text41Text36Text37Text4Check1Check2Text5Text6Text7Text8Text9Text10Text11Text31Text1Text13Text14Text15Text16Text17Check11Text19Check3Check4Check5Check6Check10Text27Text38Text39Check7Check8=i<g }Gl=]!=F c   O{ Ny2Y~"Nn6PW c c Ol3 a c @Xa PP P PPPPPUnknownG* Times New Roman5Symbol3. * ArialY" CG OmegaTimes New RomanWV BelgiumTimes New Roman5. *aTahomaA BCambria Math"qh4 4 뇆F!Y@r0d\ \ 3qHX $P3 2!xx`C:\Documents and Settings\espinoh\Application Data\Microsoft\Templates\Conference Attendance.dot&LOS ANGELES COMMUNITY COLLEGE DISTRICTespinohmannpsOh+'0$ 4@ ` l x (LOS ANGELES COMMUNITY COLLEGE DISTRICTespinohConference Attendancemannps2Microsoft Office Word@@u@n1C@n1C՜.+,0 hp  СƵ\  'LOS ANGELES COMMUNITY COLLEGE DISTRICT Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEGHIJKLMNOPQRSTUVWXYZ[\^_`abcdefghijklmnoprstuvwxz{|}~Root Entry FbData F,1Table]i'WordDocument6SummaryInformation(qDocumentSummaryInformation8yCompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q