APPLICATION FOR APPROVAL TO ATTEND
PROFESSIONAL/SOCIETY MEETING

Name:

Title:

I hereby make application to attend the meeting of: (Professional Organization/Society)

to be held at: (Location)

The dates for the meeting are:

In addition, I will use

days travel time as official leave and

days of annual leave. I expect to be out of my assigned program planning area from

to

I will be filing a request for partial reimbursement of expenses under the following conditions. (Circle one)

a) Maximum of $600 for any one year

b) Maximum of $1000 if attending meeting once in two years.

Date:

Signed--Applicant:

Date :

Signed--Regional Director:


 

*For eligibility see Policy and Procedure Handbook--Professional Meetings.

UM-112 (rev. 5-87)