Request for Funding to Attend Training

Request for Funding to Attend Training

Use survey form on the right to request funding from the 317 Board for staff to attend professional mental health, addiction services, or recovery training.

Application does not guarantee full funding.

Agency Name*

Training Name*

Dates of Training*

Training Type*

Crisis

Mental Health

Peer

Prevention

SUD/Recovery

Number of Staff Attending*

Registration Fee(s)*

List total $ amount for registration of staff members attending

Associated Expenses*

Select all associated fees that apply and are requesting funds to cover for attendees

Mileage

Lodging

Meals

Other

None - Requesting no additional funding beyond registration fees

Mileage $ Amount*

Use of a personal vehicle is reimbursed on a mileage basis at the federal mileage rate in effect at the time of travel. The mileage rates for current and prior years is available at:

https://www.irs.gov/tax-professionals/standard-mileage-rates

Lodging $ Amount*

The Board will assess reasonable reimbursement rates based on Federal Per Diem Rates:

https://www.gsa.gov/travel/plan-book/per-diem-rates

Meals $ Amount*

The Board will assess reasonable reimbursement rates based on Federal Per Diem Rates:

https://www.gsa.gov/travel/plan-book/per-diem-rates

Other Associated Expense Description(s)*

Other Associated Expense(s) $ Amount*

Total Dollar Amount Requesting from Board*

Dollar amount should equal registrations fees and all associated fees listed above

Agency Contact*

Agency Contact Email*

Fiscal Contact Phone Number*

Phone

File Upload

To be considered for funding, you must attach a copy of the training brochure that shows what is included in the registration fee OR use the Web Link field below to copy and past URL to conference info

Drag and drop files here or

Web Link

Copy and paste URL to online conference information

Send me a copy of my responses

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