Workshop Expense Report – Royalty

Today's Date

YYYY

Workshop Instructor First Name and Last Name(Required)

Workshop Instructor email(Required)

Workshop Instructor Organizaton(Required)

Workshop Instructor Organization Address(Required)

Street, City

Workshop Instructor Organization Country(Required)

IN-PERSON OR VIRTUAL: what was the format of this workshop(Required)

Yes

Workshop Course(s)(Required)

select all courses you are hosting during this workshop

3-Part Treatment Plan for OPT

OPT: Assessment and Program Plan Development

Level 3

Other

If Workshop Course is not listed above, please enter here

Start Date(Required)

End Date(Required)

Total Workshop Income (US Dollars)(Required)

IN-PERSON: Venue Expenses (US Dollars)(Required)

Enter Workshop Materials Expenses (US Dollars)(Required)

workbook printing, certificate, registration lists, etc.

Enter Total Costs of Practicum Kits Purchased (US Dollars)(Required)

General Administration Expenses (US Dollars)(Required)

if no general administration expenses, enter "0"

Any Other Expenses (US Dollars)(Required)

if no other expenses, enter "0"

Total Expenses

Net Profits Before Royalty

Royalty

Final Net Profits