Participant Application Form – 2014

Participant’s Name:
Participant’s Home Address:
City: / Province: / Postal Code:
Home Phone:
Home e-mail address:
Participant’s School Name:
School Address:
City: / Province: / Postal Code:
School/Workplace Phone: / School/Workplace Fax:
School/Workplace E-mail Address:
Current Position:
Will you be teaching in this same community in 2014-2015? YES No
If not, please indicate where you will be teaching in 2014-2015:
What grade(s) do you currently teach?
What grade(s) will you teach in 2014-2015?

Statement of Interest:

Please describe why you would like to attend this three-day summer institute.
What do you hope to learn at the summer institute?
How do you plan to share the knowledge and resources you gain once you return home?

Where are you from?

Participants are selected from across Canada with the aim of including teachers from a broad diversity of regions.

Applicants from outside the National Capital Region
Travel Assistance
If you reside further than 500 km from Ottawa, funding may be available to help offset a portion of yourtravel costs. If you are interested in receiving assistance, please provide the following information:
By what means of transportation would you travel to Ottawa?
What would your estimated travel cost be?
(Please check your airline, train or bus carrier’s website to obtain this estimate, and submit these details with your application).
In the space below, please tell us why you are requesting funds to assist you in offsetting your travel costs. Also, please provide a corroborating letter from your school’s principal or administrator, on official letterhead, when you submit your application.
Applicants from the National Capital Region
Mini-Institutes
We receive many applications from local teachers and unfortunately we cannot accept them all.
In response to local demand, we sometimes hold one-day Mini-Institutes in the summer months.
Should space not be available at the full Institute, would you like us to consider your application for a Mini-Institute? / YES
NO

Declaration:

Should I be selected, I agree to fully take part in the Summer Institute for Elementary Teachers.
This includes attending all educational sessions in their entirety.
I will make travel arrangements that respect the program’s schedule.
Should I not attend all educational sessions, I agree that I will not receive a participation certificate or any similar recognition, and I will not be remunerated for any travel costs if applicable.
Any applicable remuneration will occur following the Institute (in September).
______
Applicant’s Name / ______
Date

Thank you for your interest in attending
the Summer Institute for Elementary Teachers.

Those applying before the early bird deadline (April 13th) will be notified of their acceptance,by email, byMay30th 2014.