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 PresentationNumber of expected attendeesNumber of CE hours to be offered*BudgetExpenses and projected income (enter if needed)Projected IncomeRegistration fee to cover meeting expensesMember fee?Non-Member fee?CE fee @ $10/hour (Not everyone will want CEs)Projected ExpensesSpeaker FeesMeeting facilitiesRefreshments (if planned)Printing, duplicatingOtherFinancial 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)*