Department:	Date:

Supervisor:

The following employees have attended 1 staff development day and are eligible for a stipend of $160.00.

The following employees have not attended a staff development day and are not eligible for a stipend.

This report must be submitted to the treasurer’s office by June 1.

Supervisor Signature _____________________________	Date _____________

Revised 11/25/98, 8/1/03, 5/26/05

Certified Additional Staff

Development Day Report

Trumbull County

Educational

Service Center

Valued Gateway Client

2005-05-26

lubichpa

TCESC