YUHSD Career & Technical Education Department SY 2013-2014 NAME: CAMPUS: Activity or Event DATE: December, 2014 Maximum amount allowed CTSO SPONSORSHIP (DECA, SkillsUSA, FFA, FEA, HOSA, FCCLA, etc) Student Participation: $30 per paid member: $600 Attending/competing @ regional/district/area competition. Documentation: Proof of paid registration fees & participation in event (travel request) Sponsorship/Chaperone attendance @ Leadership Training Conference $450 $75/half day or $150/full day Documentation: Copy of travel request indicating your participation. $300-Region $300-State $450-National Documentation: Log which must include student sign in signatures, dates, times of prep. Sponsor Preparation of students for competition$75/half day or $150 full day Sponsor/Chaperone attendance @ student competition$75/half day or $150/full day. Documentation: Copy of travel request, which indicates your participation. $1200 Sponsor/Chaperone@ Community Service/Fundraising $450 $75/half day or $150 full day Documentation: Copy of approved campus activity request along with any other documentation which supports time worked outside of school day. May, 2014 Amount Claimed Advisory Board Participation Advisory Board Meetings-1 per semester @ $50/meeting $100 Documentation: Meeting agenda, copy of meeting notes, sign in sheet (which documents your participation). Collaboration with content area teachers to create lesson plans which integrate MATH in CTE & LITERACY in CTE for the purpose of decreasing math & reading remediation at the post secondary level and increasing math and reading achievement to meet or exceed SALP. Math in CTE, Literacy in CTE$600 Co-planning with appropriate content area colleague. $25/hour Documentation: Log of meeting dates & times, copy of lesson plans and class data to support plan/s. CTE Placement data is used to calculate local and state performance on the Arizona Performance Measure S1. CTE placement data earns YUHSD state funding. Placements-CTE Dept./campus completes 100% placement forms by due date. $100 Documentation: Campus returns to DAO by due date 100% thoroughly completed & legible. SUPPLEMENTAL PAY TOTAL: Employee’s Signature________________________________________ My signature certifies the time documented on the attached was worked outside of my contracted workday. (7:15am-2:45pm) Principal’s Signature_________________________________________ CTE Administrator Signature_________________________________ Special Notes: Employees will submit this form with a record of service performance to their campus principal for preliminary approval. Upon approval, the employee will forward this form with documentation and performance to the DAO CTE office in by November 8 or May 9th, 2014. Supplemental extra duty pay amounts allowed per CTSO Sponsor WILL NOT EXCEED $2000 per SY13-14. Supplemental pay received-December, 2014: CTE LEADERSHIP TEAM COMMENTS: CTE DAO ONLY BELOW THIS LINE Supplemental Pay approved: