BRIDGEPORT SCHOOL DISTRICT AS FIDUCIARY FOR NON-PUBLIC SCHOOLS: NPS Title I-IIA-III-IVA FUNDS

CT-3NPS: NONPUBLIC SCHOOL CONFERENCE/TRAVEL FUNDING REQUEST

NON-PUBLIC SCHOOLS ONLY

REQUESTOR: IDENTIFYING INFORMATION

Submit this form at least 30 business days prior to the conference registration deadline.

NPS Requestor: Name*

NPS Principal: Name*

NONPUBLIC SCHOOL: INFORMATION

Select from the dropdown menu.
NPS Requestor: Position Title*

CONFERENCE INFORMATION

Destination Address*
Conference Start Date/Time*
Conference End Date/Time*
Absence Start Date/Time*
Absence End Date/Time*
Is Conference Destination ONLINE?*
Is the conference taking place in the summer?*
Is the Conference Destination OUTSIDE of the USA?*
Check yes for international conferences.
Is Conference Destination OUT OF CONNECTICUT?*
Request to Attend...*
Request to Attend.....*
Conference Flyer - Please upload.*
No File Chosen
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Registration Form/Confirmation - Please upload*
No File Chosen
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Conference Stipend Contract - Please upload. *
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FUNDING INFORMATION

EXPENSES PAID BY....*
NPS: BUDGET ACCOUNT*

ESTIMATED COSTS

$
$
Mode of Travel - Check all that apply.*
$
$
$
$
For Mileage, UPLOAD MAPQUEST printout.*
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For Mileage, UPLOAD MAPQUEST printout. - Copy*
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REQUESTOR'S SIGNATURE

Click below to confirm that you have informed your principal or supervisor of this request to attend a professional conference.*
Date Submitted*
Use your mouse or finger to draw your signature above

NPS APPROVER: NPS PRINCIPAL

NPS PRINCIPAL: Decision*

GRANTS MANAGER 1 - INIT

GM1: Decision 1*
GRANTS PROCESSOR*

GRANTS MANAGER 2 - FINAL

GM2: Decision 2*

GRANTS OFFICE: PROCESSOR

PROCESSOR: DECISION*
Date Entered in MUNIS*

GRANTS PROCESSOR: PO#

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