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As a friendly reminder, this form is not to be completed for field trips!

NMCSC Professional Leave Form

Employee Information

First Name *

Last Name *

Home School or Department *

Employee Email *

Frontline (formally AESOP) Confirmation # 🛈

Professional Activity

Start Date * +

End Date * +

Number of full days *

Number of half days: *

When are half days:

AM

PM

Professional Activity *

0/255 characters

Location: *

0/255 characters

Estimated Expenses

Registration Expense

Registration: The request must be received in the Central Office at least 3 weeks prior to the earliest registration deadline. If the request is not submitted in a timely manner, the employee will be responsible for registration payment. The employee will then be reimbursed only for the amount due for the early bird registration.

Please choose how registration is to be paid: *

Central Office to register (enter URL below)

Registered self (attach copy of confirmation)

No Registration Required

Registration Amount: * 🛈

Registration URL: *

Attach registration doc here: *

Enter funding source for registration:

Mileage Expense

Will you be requesting the Corporation mini-van? *

Yes

No

Approximate miles to be driven in personal car? 🛈

Mileage Amount:

$0.00

Attach Google map here:

Substitute Expense

Will a substitute be needed? *

Yes

No

Substitute Amount:

$0.00

Lodging Expense (if pre-approved by Superintendent)

Please choose how lodging is to be paid:

Central Office to make lodging reservation

Lodging was part of registration fee

Paid for lodging with personal card (attach copy of receipt)

Lodging Amount:

Lodging URL: *

Attach lodging docs here: *

Enter funding source for lodging:

Other expenses

Please enter other expenses such as flights, taxi's, etc.

Other Amount:

Attach other receipts here: *

Enter funding source for other items:

Total Expenses

Total Expenses:

$0.00

Total Expenses:

$0.00

Principal/Director/Supervisor Email

Please choose your supervisor: *

* indicates required field