NON-CREDIT PD FUND APPLICATION

TERMS OF REFERENCE - PD FUND APPLICATION

Non-Credit PD Fund Application

First Name *

Last Name *

Address *

City *

Province *

PC *

Phone Number (Work) *

Phone Number (Home) *

Email Address *

School *

PD Details

Describe PD Activity *

Describe Funding Sources *

Date(s) of Funding Cost *

mm/dd/yyyy

Subsidy Requested *

Maximum of $200

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

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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