HomeMy WebLinkAboutL. Harms - Shade Tree Short Course and INLA Tradeshow - 2/26-27/2020 FINANCE DEPT. STAFF ONLY
LINE ITEM USED U/0_374100-1,34
TRAVEL REQUEST FY 200 BUDGETED SOy
CITY OF WATERLOO EXPENDED YTD o20 /!
THIS REQUEST 3S i
LEFT AFTER THIS (I
REQUEST /`G"3
DATE S oR-.27-'-20de)
Original-Clerk/Finance Co - Department
NAME(S) AND POSITION(S): DATE:
02/26/20
Lawrence Harms, park maintenance
NAME OF CLASS / MEETING: DESTINATION: Ames IA
Shade Tree Short Course and INLA Tradeshow DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
02/26/2020 02/27/20 2/26— 02/27/2020
PURPOSE OF TRAVEL/TRAINING:
Educational in the field of arboriculture.
Collect CEU's for the required pesticide applicator license.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-4100-1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
35.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 35.00 TOTAL: $ 35.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
2
DEPARTMENT HEAD' MAYOR
DATE DATE
K:AShared Goodies\Forms\Travel Request Form January 2010
W ANNUAL
IOWA STATE UNIVERSITY SHADE TREE SHORT COURSE FEBRUARY 25-27, 2020
It's Easy to Register!
REGISTER EARLY! Advanced registration is required due to the multiple workshop format.We will attempt to place you in your first
choice,although some of the workshops have limited enrollment. No refunds will be given after February 21,2020.
ONLINE Complete online form and pay with credit card at regcytes.extension.iastate.edu/shadetree
MAIL Complete form Ione per particpant).Select your workshop choices on the other side of this form.
For each session Athrough G,rank your choices 1 to 7 in the spaces provided.Remember,some workshops
run two or three hours.Mail completed form(s)with check made payable to Iowa State University:
ISU Registration Services,1601 Golden Aspen Drive,Suite 110,Ames,IA 50010
QUESTIONS? registrationsgiastate.edu-(515)294-6222
Le1w �4 _0_11\CQ_
FIRST nlannF LAST NAME
EMAIL PHONE
yJNe'rkQo Leti5W-C 4-.r L/ Ce% flat Can..�?j>zl\ 41R. Wefecicc "L# 50701
COMPANY/AFFILIATION ADDRESS CITY/STATE/ZIP
BUSINESS CLASSIFICATION checkonlyone PROFESSIONAL CLASSIFICATION check all that apply
❑ Design professional Awa Arborist Association
❑ Nursery and landscape professional ❑ Iowa Nursery&Landscape Association
i ❑ Arborist ❑ Iowa Golf Course Superintendents Association
❑ Master Gardener ❑ Iowa Professional Lawn Care Association
❑ Educator/student ❑ Iowa Sports Turf Managers Association
State/municipal employee ❑ American Society of Landscape Architects
❑ Association of Professional Landscape Designers
ON OR
STSC REGISTRATION OPTIONS BEFORE FEB.14 AFTER FEB.14
FEBRUARY 25-27 includes lunch on February 26 METHOD OF PAYMENT
STSC REGISTRATION FEEW,70 $220❑
� ❑ CHECK
or Make checks payable
to Iowa State University
STSC DISCOUNTED FEE forfull-time academic student or ISU staff ❑ $ 85 ❑ silo
❑ 35 ❑ VISA
PESTICIDE APPLICATOR RECERTIFICATION 2,30,30T,10 $ 35
$ ❑ MASTERCARD
FEBRUARY 27–Optional lunch ❑ $ 20 ❑ $ 20 ❑ DISCOVER
❑ AMERICAN EXPRESS
PRE-CONFERENCE
FEBRUARY 25—PESTICIDE APPLICATOR RECERTIFICATION ❑ $35 ❑ $35 CARDHOLDER NAME
Please indicate which session( I you will he attending
Workshop 1 Category 5:Aquatic ❑ ❑
❑ ❑ SIGNATURE
Workshop 2 Category 6:Invasive
FEBRUARY 25—INLA DAY EVENT RATES NOW NOW CARD NUMBER
MEMBER MEMBER MEMBER MEMBER
ICNP Certification Exam' ❑ $75 [1 $150 ❑ $75 ❑ $150
ICNP Certification Exam Retest' ❑ $40 —] $ 80 ❑ $40 [1 $ 80 EXP.DATE
ICNP Continuing Education Program ❑ $15 ❑ $15 ❑ $15 ❑ $15
THREE DIGIT SECURITY CODE
TOTALS
•I N LA will contact you with test preparation details