Request for Commitment of Funds Attendance at Non-Sponsored JBE Program Submit request with a copy of the program agenda/brochure Program Date: Program Title: Program Location: Name(s) of Participant(s): Request Date:
Costs per Participant Expense Number of Participants: Airfare Trans to/from Airport Lodging Meals Conference Fee Tuition Other Total for Conference Budgeted Per Participant Total
$0.00 $0.00
$0.00
0
Actual (JBE Use Only) No. of Participants: Per Participant Total
$0.00 $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 I request that the amount of ______ be committed to the attendance of these participants at this program.
If supervisory approval is necessary for you to attend, secure Supervisor's signature: _______________________________________ digital signatures are not accepted
In the event the request involves travel outside of the state, or a commitment of funds in excess of $900.00, the supervisor must provide the following:
A justification why the employee(s) should attend:
A statement as to why this education cannot be obtained in the state, and/or at a lesser cost:
How the program is related to the job:
JBE USE ONLY
Is the Program eligible for JBE Credit? Yes No Are there monies from non-Supreme Court sources available to help defray the costs? Yes No If yes, detail sources below: Are there adequate Supreme Court Education Funds to allow for full funding of each participant? Yes No
Request
Approved
Denied
Approved conditionally based on:
Participants attempting to reduce their expenses by applying for non-Supreme Court Education Funds Participants will provide the Director of Judicial Branch Education with copies of all agendas and programming materials of the meeting Participants agree to present material based on the subject of this conference at appropriate Nebraska-sponsored educational programs.
______________________________ Carole McMahon-Boies, Director, JBE
_________________
Date