Soutien financier d’OSSTF/FEESO accordé pour poursuivre son éducation

Bourse de voyage Dr S.G.B. Robinson · Formulaire de demande : Bourse de voyage S.G.B. Robinson

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Formulaire de demande : Bourse de voyage S.G.B. Robinson

Si vous soumettez cette demande correctement, vous recevrez une page vous remerciant. Si vous ne la recevez pas, communiquez avec :

Le présent formulaire de demande électronique propose la possibilité de télécharger des documents. Vous pouvez soumettre au total des annexes dont la taille maximum est de 20 Mo.

Si vous soumettez votre formulaire électronique de candidature avec des documents joints qui dépassent 20 Mo, vous serez acheminé à une page d’erreur « Page Not Found ». Vous devrez alors soumettre à nouveau votre formulaire électronique en vous assurant de garder un fichier de documents dont la taille est inférieure à 20 Mo. Pour éviter de vous retrouver sur cette page d’erreur, on recommande que chaque fichier joint ne dépasse pas les 3 Mo.

Si vous avez atteint la taille maximale du fichier et n’avez pas inclus toutes les pièces, envoyez les documents restants par courriel à esdawards@osstf.ca.

* Indique un renseignement requis.



AIDE-MÉMOIRE – Avez-vous inclus les renseignements suivants?

  • Relevé des dépenses prévues
  • Qualifications professionnelles et académiques
  • Itinéraire de voyage
  • Liste des personnes et des organismes que vous visiterez éventuellement
  • Résumé du programme de voyage
  • Lettres de recommandation (deux au minimum) de membres en règle d’OSSTF/FEESO 


Date: Monday, May 20, 2024

PART A - Applicant Information

1.
* First Name
* Last Name
* Home Phone
Cell Phone
* Personal E-mail


2. Address (where you want correspondence sent)
 
* Street Address  
* City/Town  
* Postal Code  
Is this your permanent address?


3. Membership Information
 
* OSSTF/FEESO Membership Number
* OSSTF/FEESO District # & Name
* OSSTF/FEESO Bargaining Unit Name
    If other, please specify 


4. * Name of Employer
  * Name of Work Location / School


5. * Professional Position at Present
 


6. a) * Indicate whether you have previously received any of the five OSSTF/FEESO Scholarships or Awards listed below:
     
     
 
 
What was the value of the award? $
Failure to submit the required written report(s) for any of the above will disqualify your plication from being considered for any OSSTF/FEESO scholarships or awards in the future.
 
  b)* Have you received / are you receiving funding for this travel?
     
      If yes, what is the total value of the funding? $


7. Indicate which of the following will apply while you are involved in your study:
 
      Dates      
No Leave          
Leave of Absence without pay   From to
Leave of Absence with pay            
Sabbatical   From to
Self-funded Leave (x over y plan)   From to
Other:   From to
If ''other'', please specify            


8. Specify anticipated expenses for your travel program:
(Example: Accommodations while away from home, travel, books, and any other project related expenses)
 
*   $
    $
    $
    $
    $
  TOTAL EXPENSES * $


9. Academic and Professional Qualifications
  i. Date Received Degrees (including subject area and content specialization, etc.)
 
 
 
  ii. Date Received Diplomas (including subject area and content specialization, etc.)
 
 
 
  iii. Date Received Certificates (including content specialization, etc.)
 
 
 


PART B - Travel Information

1. * Location(s) of travel and proposed dates of trip:
    Location: Dates:
 
   
 
 
 
 


2. * Synopsis
Provide a brief synopsis, 150 words maximum, that outlines the intended contribution to education of your travel program.
 
 


3. * Travel Itinerary
Provide your travel itinerary.
 
 
 
 
If you are not travelling during the next academic year, please explain why there is a delay in your travel plans


4. * Contacts
Provide a list of names and the organizations you have contacted for possible visitations.
 
 


5. * Past Experiences
Provide information about your past experiences which qualifies you to make a contribution to education utilizing the results of your travel experience.
 
 


6. * Describe the relevance of your travel to your present job and to education in Ontario.
 


7. Letters of Recommendation (Each letter of recommendation should outline your suitability for this award.) OSSTF/FEESO is unable to advise you what should be contained in your letters of recommendation.
 
 Indicate the names and positions of persons submitting letters of recommendation on your behalf:
 
 
a) OSSTF Member
 
* Name
* Position
  Letter attached (File types allowed: .wpd / .pdf / .doc / .docx / .txt)
   
 
 
b) Additional Colleague
 
* Name
* Position
  Letter attached (File types allowed: .wpd / .pdf / .doc / .docx / .txt)
   
 
 
c) Other
 
* Name
* Position
  Letter attached (Filetypes allowed: .wpd / .pdf / .doc / .docx / .txt)
   


It is the applicant’s responsibility to ensure all documentation is received by the provincial office no later than April 1 in order for your application to be considered complete.

I hereby consent to the collection and use of the above-noted information by the Ontario Secondary School Teachers' Federation. This information shall be used exclusively for the purposes of union administration and the representation of our members.

* Name of applicant