AQ CREDIT APPLICATION

The Local thanks you for your interest in our Negotiated Funds during the 2026-2027 school year.

TERMS OF REFERENCE - AQ CREDIT APPLICATION

AQ Fund Application

First Name *

Last Name *

Address *

City *

Province *

PC *

Phone Number (Work) *

Phone Number (Home) *

Email Address *

School *

Course Details

Course Name *

Course Registration Fee *

Reimbursement Amount *

Institution *

Course Start Date *

mm/dd/yyyy

Course Completion Date *

mm/dd/yyyy

Additional Information

Please submit appropriate receipts to Jason Surgent using one of the following three options: attach document below (2MB max size), via courier to Federation House or via email to jsurgent@etfohp.on.ca ASAP. Thank you.

File Upload

Maximum file size: 52.43MB

Sending

If you are human, leave this field blank.

HELPFUL RESOURCES:

ETFO LOCAL OFFICE

Federation House

114 Victoria Avenue

Belleville, ON K8N2A8

P: 613.968.3707

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Affiliated with the

Elementary Teachers' Federation of Ontario