CP-T-1

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IN-STATE/OUT-OF-STATE CARL PERKINS TRAVEL REQUEST FORM

Name:              Travel Dates: From      To

Title/Position:              Dept/Instructional Area:  

Name of Conference/Meeting:            

Location:

Estimated Cost*:          College:

(*Travel cost estimates shall be within State Travel Guidelines.)          

I.  What is the purpose of this travel?

II.  How will the results of this travel improve the career-technical education program related to the travel?

III.  Describe how participating in this professional development activity will be used to improve the instructional programs or administration of the career-technical program? Include how this will relate to improving the retention rate and the completion rate of students enrolled in a career-technical education program.

IV:  How will the travel benefit the training received by students?

College/Regional Approval

Approved:   Request Denied:       Perkins Coordinator Approval: ( ) Yes ( ) No

Approving Authority Signature:  ________   ____________   

Printed Name:  Date:  

Title:  

LCTCS Carl Perkins Approval

Approved:    Request Denied:  

Approving Authority Signature:  ________  ____________

Printed Name: ________________________________________________________________ Date: ________________________

Title:  

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