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OSSTF District 11- Thames Valley |
REQUEST FOR FUNDING ASSISTANCE FOR INDIVIDUAL P.D. ACTIVITIES 2006 - 2007
This form is for members of District 11 to request funds from the Educational Services Committee to pursue professional, curricular and educational issues and to support the goals of Professional Development in the District.
Please note the following:
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The maximum funding is $125.00 per individual for one P.D. activity this school year.
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The ESC reserves the right to distribute PD funds equitably among District 11 workplaces.
(Please refer to Professional
Development Funding Information). -
Applications should be received prior to the activity. However, retroactive grants will be considered in September and October for summer professional development.
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Eligible Items: registration, accommodation, transportation costs (with receipts) for one round trip from home to event location, course/workshop related materials, meals (maximum allowed $10 each for breakfast, lunch; $25 for dinner/day).
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Items not funded: class coverage, courses that may result in system or salary advancement, or other expenses deemed ineligible by the Ed Services Committee.
Please complete the form and FAX (659-2421) it to Educational Services Committee c/o Nancy McDougall at the District Office. You will receive confirmation of the Committee’s decision within 10 days after the next scheduled Ed Services monthly meeting. You will be required to submit original receipts for all claimed expenses unless other arrangements agreed to in advance. All requests for reimbursement must be received by June 15th of the current school year to guarantee payment.
REQUEST FOR FUNDING ASSISTANCE
Date of Request:____________________________ Date of Event:______________________________
Name:_____________________________________ Workplace:________________________________
Contact/Workplace Phone:____________________ Contact/Workplace FAX #:____________________
Home Phone:__________________ Name of P.D. activity______________________________________
Location of P.D. activity (city, town):______________________________________________________
Rationale for Attending:_________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
 | (Registration Form, Brochure or Event Information and the appropriate signatures MUST accompany application) |
Projected costs:
Registration $__________________
Accommodation $__________________
Travel (1 round trip) $__________________
Meals $__________________
Other $__________________ for _________________________ (specify)
Total Costs $__________________
Total assistance from other sources: $__________ from______________________________________
| (If no workplace funds are approved, please complete as "nil") |
Amount requested from District 11 $__________________ (maximum $125.00)
______________________________________________
SIGNATURE - APPLICANT
_______________________________________________
*SIGNATURE - BRANCH/B.U. PRESIDENT/EDUCATIONAL SERVICES REP*
(Must be completed)
FOR OFFICE USE: DISPOSITION _________________________________________________________