ࡱ> kmj#` F@bjbj5G5G 4dW-W-?FFF8~| +||||[  ""|1+3+3+3+3+3+3+$,hL/LW+Q{#W [ {#{#W+||+=&=&=&{#j||1+=&{#1+=&=&=&| @gF#4=&'L+0+=&/$/=&/=&{#{#=&{#{#{#{#{#W+W+%X{#{#{#+{#{#{#{# F F DCCCA, Inc. Outside Training Request Form 1. Employee Name: FORMTEXT       2. Title of Workshop/Course: FORMTEXT       3. Type of Training: (Refer to Training Policy)  FORMCHECKBOX  IDP  FORMCHECKBOX  ELECTIVE  FORMCHECKBOX  WORKFORCE DEVELOPMENT 4. Netsmart Course  FORMCHECKBOX  Yes  FORMCHECKBOX  No5. CEU/Training Hours  FORMTEXT     6. Benefit you expect from this workshop: FORMTEXT       7. Registration Deadline: FORMTEXT      8. *Have you pre-registered? FORMCHECKBOX  Yes  FORMCHECKBOX  NoTo insure space for your attendance, it would be in your best interest to pre-register for this workshop. Obtain approval first. 9. Date of workshop: FORMTEXT      10. Location: FORMTEXT       11. Registration Costs: (attach form) FORMTEXT      (Keep a copy of the registration form for your records in case any questions arise) 12. Training hours to be used: (includes travel time) FORMTEXT     13. Pay registration to:Name: FORMTEXT       Address:  FORMTEXT       City/State/Zip:  FORMTEXT        FORMTEXT     FORMTEXT       (If requesting reimbursement of registration costs, proof of payment must be attached.) 14. 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(  t6    44 la $Ifgdw$&(2468:JLNbdfprvxۼۑ}۴nfۑR۝&jhKeht>>*OJQJUhEOJQJhEh'vXCJOJQJaJ&jhKeht>>*OJQJUhKehKe>*OJQJhKeOJQJhh'vXCJOJQJaJh'vXOJQJhKeh'vX>*OJQJ%jh0g>*OJQJUmHnHu jhKehKe>*OJQJU&j hKeht>>*OJQJU򺬣¬xhXL=5h)OJQJhcShT\CJ OJQJaJ hT\CJ OJQJaJ h^ZTh'vX5CJOJQJaJh^ZTh5CJOJQJaJhhCJ OJQJaJ h'vXOJQJ&jh^ZThdC>*OJQJUh^ZT>*OJQJjh^ZT>*OJQJUhKeOJQJ%jh0g>*OJQJUmHnHu&jshKeht>>*OJQJUhKe>*OJQJjhKe>*OJQJUxt88999 $IfgdPNgdcSgd$a$gdgdw@kdq$$Ifl (i t644 la $Ifgdw 888888.8082888:8J8L8N8b8d8f8p8r8t\E-jh0g>*CJOJQJUaJmHnHu.jhxh >*CJOJQJUaJhx>*CJOJQJaJ"jhx>*CJOJQJUaJhPNhPNCJOJQJaJ+jfh0ghf;CJOJQJUaJ+jh0ghf;CJOJQJUaJUjhCJOJQJUaJhCJOJQJaJhPNCJOJQJaJhPNOJQJ  Yes  FORMCHECKBOX  No Estimate  FORMTEXT      15. Hotel:  FORMCHECKBOX  Yes  FORMCHECKBOX  No Estimate  FORMTEXT      16. Meals:  FORMCHECKBOX  Yes  FORMCHECKBOX  No Estimate  FORMTEXT       Employee signature:Date: *If you have pre-registered without receiving full approval your request for reimbursement may be denied. 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