School Board of Nassau County School Board Meeting Agenda Item Request

Please complete this form in order to add any item to the School Board Meeting Agenda.

ITEM TYPE: Recognition / Award Presentation Consent Discussion ACTION TYPE: Informational Take Action Recognition Tabled Item If this is a tabled item, on what date was the item tabled? AGENDA STATEMENT: ISSUE: ALTERNATIVES: RECOMMENDATIONS: RATIONALE: IMPACT STATEMENT:

DATA SOURCE:

SUBMITTED BY:

The Nassau County School DistrictAdult Education & Dropout Prevention

1201 Atlantic Avenue

Fernandina Beach, Florida 32034Fax (904)548-4499

Brent Lemond

Director of Adult Ed. & Dropout Prevention(904) 548-4474

Angela ColeProgram Specialist, Adult Ed. & Adult High School(904) 548-4475

Marian P. O'Neal

Supervisor's Secretary/Attendance(904) 548-1752

Patricia "Ms. Pete" YoungGED Examiner/Administrative Assistant

(904)548-1750

January 04,2017

Dr. Kathy Burns1201 Atlantic Avenue

Fernandina Beach, PL 32034

Dear Dr. Burns:

I am writing to request approval for Michelle Stamps and Joyce Finley to attend the National

Business Education Association (NBEA) in Chicago Illinois, on April 11-15, 2017. Travel expenses

will be covered by the Cape Funds.

Sincerely,

Brent Lemond

Our mission is to develop each student as an inspired life-long learner and problem-solver with the strength ofcharacter to serve as a productive member of society.

AN EQUAL OPPORTUNITY EMPLOYER

THE SCHOOL BOARD OF NASSAU COUNTY, FLORIDACERTIFICATE OF ABSENCE

SECTION A - To Be Gbrnpleted By Employee

Print Name: fVliCiielc vSfeliUp3 Empi- i.D. Position: -^erxT-herMailing Address!^3^)C)STi^lir-U I (ti _fl. YlH Official Headquarters:This is to certify that I (was/will be) absent from duty for s.S~ day(s) on ̂ II "" U 1^ for the following reasons:

pjonti y Dsyls) / / Year X

_ No (onlu H uOSlSiDrSLih)Substitute Required: Yes, (onlii U%J}9eiTfOrigin: Vi1 lhC\iT\ t rL-Planned Departure Date:JDate Signed:

Destination:

Employee:,

Meeting Place:(_Pianfiea~Return Date:

SECTION B - To Be Completed By Immediate Supervisor INCLUDE WITH PAYROLL TO FINANCE DEPT.The Above Absence is Recommended As: ^Sick Leave Days

Personal Leave Days ' rAssigned Duty Elsewhere: Days Date Signed: iCLl t

Worker's Compensation

I Absence For Other Reas^55^1' Wnmediate

SECTION C - Reimbursement ApprovalReimbursement Requested Yes No Scjurce Of Funds Requeste^or Reimbursement,PER DIEM O^-rt^^EAGED CLASS C (Lodging Receipt Required) COMJVtON CARRIER Approrak^ques^^d^^^ed^pts Required) □

/ fu I / D i rt-i KI I rc* rv^ r» t A r-ir*\rr%\/rtrJ • M/-\ Cln r» ofi i rcn*

;nt Requested Yes,

M^^EAG^D CIDate Signed: Reimbursement Approved: Yes"! No Signature: .

SECTION D - To Be Completed By County Office - Out of County Travel Only

TRAVEL VOUCHER

Date Signed: Approved: Yes, No Superintendent/Asst. Supt.

SECTION E - ToBe Completed By Employee After Trip MEETING AGENDA MUST BE ATTACHED

Mileage: Round-Trip City-To-City:

Actual Departure Date: Ti

List Receipts Attached For Authorized Expenses:,

City Vicinity Miles: _Total Trip Miles: ,

Actual Retum Date:

I hereby certify that the above is a true and correct statement of travel expenses actually incurred in the performance of my official duties.

Date Signed: Certified by Empioyee:

Date Signed: Department/School Approval:

# of miles cents per mile

X# of quarters per diem rate

VENDOR FUND FUNCTION OBJECT FACILITY PROJECT PTE AMOUNT

mileage allowance

per diem allowance

receipts allowance

total reimbursements

THE SCHOOL BOARD OF NASSAU COUNTY, FLORIDACERTIFICATE OF ABSENCE

SECTION A - lb Be Completed By Employee

Print Name: Joyce M. Finley Empl. I.D. #: 045880399 Position: T

Mailing Address: 1 1 648 Carapace Ln, Jax, FL 32218 Official Headquarters:This is to certify that I (was/will be) absent from duty for ^ ̂ day(s) on 4/1 (l-l 5/20

T

day(s) on 4/1(1-15/20

eacher

17 fop t^e following reasons:

□ Illness of Myself□ Illness or C

Substitute Required: Yes ^ No ^To be completed by Timekeeper/DesigneeSubstitute(s) used.

SName as Board approved ocial Security Number No. of Days

Death of a Close Relative

Personal

*Assigned Duty Elsewhere or

Other Reasons, Explain Briefly:

To be paid from: / 1 1*^1

EMPLOYEE MUST OBTAIN WRITTEN APPROVAL BEFORE DEPARTURE.*(A) In-County or Out-Of-County must be approved in advance by Immediate Supervisor.*(B) Out-Of-County must be approved by the Superintendent/Assistant Superintendent.

□ *(G) In or Out-Of-County trips approved in the Educational Trips Handbooks need only the Immediate Supervisor's signature.

Purpose of Leave: NBEA (National Business Education Association) ConferenceOrigin: Jacksonville Destination: 6lhicago Meeting Place: Chicago Convsntion CttrPlanned Departure Date: 4 /1 () /1 7 Time: 8 ; 00 am Planr^d RetflrrTpate: 4/15/17 Time: 3 ; 3 0 pitiDate Signed: /Zf/(a/Z.Oi 1 Employee: ^SECTION B -;1b Be Completed By Immediate Supervisor INCLUDE WITH PAYROLL TO FINANCE DEFTThe Above Absence is Recommended As:

Sick Leave

Personal Leave

Assigned Duty Elsewhere:

iJ

Days ^ 'Days Date Signed:

Worker's Compensation

Absence For Other ReasM

ilmmediate Supervisor: /L

SECTION C - Reimbursement ApprovalReimbursement^dquested Yes No Source Of Funds RequestedFor^ReimbursementPER DIEM MILEAGE □ CLASS C (Lodging Receipt Required)^0-''COMI^N CARRIER Approv:Date Signed: _ Reimbursement Approved: Yes—'''No Signature:.,^^Date Signed:

est^ (Receipts Repmed)n3

SECTION D - To Be Completed By County CfficexCut of County Travel OnlyDate Signed: Approved: Yes No Superintendent/Asst. Supt._

TRAVEL VOUCHER

SECTION B -To BeCprnpleted By Employee After Trip MEETING AGENDA MUSTBE ATTACHED

Mileage: Round-Trip City-To-City:Actual Departure Date: TList Receipts Attached For Authorized Expenses:

City Vicinity Miles: Total Trip Miles:

Actual Retum Date:

I hereby certify that the above is a true and correct statement of travel expenses actually incurred in the performance of my official duties.Date Signed: Certified by Employee:Date Signed: Department/School Approval:

# of miles cents per mile

X

# of quarters per diem rate

FUND FUNCTION OBJECT FACILITY PROJECT FTE AMOUNT

mileage allowance

per diem allowance

receipts allowance

total reimbursements

r^rM iM-rv da\/d/^i i

20170126 -Lemond - Out of state travel20170126 - Lemond - Out of state travel

Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box5: YesCheck Box6: OffCheck Box7: OffCheck Box8: OffText10: Check Box9: OffText11: Out of state travel for Joyce Finley and Michelle Stamps to attend National Business Education Association (NBEA) Conference in Chicago Illinois, on April 11-15, 2017. Travel expenses will be paid from Cape funds.Text12: Text13: Text14: Text15: Attending the NBEA will expose us to more than 70 educational sessions, hands on work shops to expand specific skills and introduce new technology. Exceptional opportunity to acquire new skills that will serve us in the clssroom and our students in the workplace.Text16: Text17: Text18: Brent Lemond