Form – CE – Proposal for Continuing Education Events Name (Regional Coordinator)* Email (Regional Coordinator)* Enter Email Confirm Email Region* Location of Event* Address* Proposed date and time of event* Name of Speaker* Title of Presentation Number of expected attendees Number of CE hours to be offered* BudgetExpenses and projected income (enter if needed)Projected Income Registration fee to cover meeting expenses Member fee? Non-Member fee? CE fee @ $10/hour (Not everyone will want CEs) Projected Expenses Speaker Fees Meeting facilities Refreshments (if planned) Printing, duplicating Other Financial Procedures for Regional Events The CALPCC Treasurer will approve the event budget. Income: Attendees will register with a credit card on the CALPCC website, so the Regional Coordinators do not handle registrations fees. Expense Reimbursement: Two options: Regional Coordinator submits an invoice to the CALPCC Treasurer (treasurer@calpcc.org), who will pay expenses directly to the vendor, speaker, facility, etc. If the Regional Coordinator pays up-front expenses out-of-pocket, he or she can put them on a personal credit card and submit the receipts with the CALPCC reimbursement form to the CALPCC Treasurer, who will reimburse quickly. Responsibility Statement I have read and understand the procedures required to hold a CALPCC Regional Event. I agree to carefully monitor the process required for Continuing Education Events and agree to submit the required documents in a timely manner. I agree (Type your name)*