ࡱ> ]_\% ]bjbj%% .PGG|lz z z z l LW > $$$$$xRTTTTTT$a "vxH$$HHx2$$222H $$R2HR22$2 <z R6t'0W""2Lethbridge School District #51 Professional Development Application (Deliver Application to ATA Local #41 Office prior to 4:00 pm on appropriate deadline) To fill in this form just click in the gray spaces and type or choose your response. Then print it out, get it signed , and send it in. Surname;  FORMTEXT       First Name;  FORMTEXT      School;  FORMDROPDOWN  Activity length (Days)  FORMTEXT   Name of Activity or Workshop;  FORMTEXT       University Credit Course?  FORMDROPDOWN Location of Activity or Workshop  FORMTEXT       Workshop Dates;  FORMDROPDOWN   FORMTEXT    to  FORMDROPDOWN   FORMTEXT    I have been employed by school district 51 for six months or more;  FORMDROPDOWN  Substitute Teacher Required  FORMDROPDOWN Dates Required (if applicable)Date  FORMDROPDOWN   FORMTEXT    a.m.  FORMCHECKBOX  p.m. FORMCHECKBOX  both  FORMCHECKBOX Date  FORMDROPDOWN   FORMTEXT    a.m.  FORMCHECKBOX  p.m. FORMCHECKBOX  both  FORMCHECKBOX Date  FORMDROPDOWN   FORMTEXT    a.m.  FORMCHECKBOX  p.m. FORMCHECKBOX  both  FORMCHECKBOX Date  FORMDROPDOWN   FORMTEXT    a.m.  FORMCHECKBOX  p.m. FORMCHECKBOX  both  FORMCHECKBOX Date  FORMDROPDOWN   FORMTEXT    a.m.  FORMCHECKBOX  p.m. FORMCHECKBOX  both  FORMCHECKBOX  Expense Details  Note; provide estimated costs, these may be altered during processing to ensure compliance with the guidelines.Registration  FORMTEXT       (receipt must be provided)Travel by Air, Rail, Bus  FORMTEXT       (receipt must be provided),Travel by Car  FORMDROPDOWN  other destinations;  FORMTEXT      km at 18/km =  FORMTEXT      Accommodation  FORMDROPDOWN  night(s) at $80.00 per night =  FORMTEXT      Meals/Subsistence  FORMDROPDOWN  day(s) at $35.00 per day =  FORMTEXT      Total Expense Estimate =  FORMTEXT       You are applying on the condition that you are Your signature: not on leave at the time of this conference Please Read and Complete this SectionOften the number of applicants to the PD fund requires that the level of support to each applicant is less than 100%Note to supervisors; Before approving any Professional Development application, the Supervisor is required to ensure that the application complies with guidelines.Application Approved Immediate Supervisors Signature:Information gathered here is used for professional development purposes only and is confidentialNote; This application will be returned to you if all of the above are not completed with required signatures. Thank you. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Receipt of Application Acknowledgement (please do not detach)Name;  FORMTEXT      Office Use only Date Received ________________ Notification after ______________ Received by __________________School;  FORMDROPDOWN Function;  FORMTEXT      Your Application has been received by the ATA office. This application will be processed and you will be notified of the level of support granted during this time. 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