OSSTF/FEESO Financial Assistance Awards for Further Education

Dr. S.G.B. Robinson Travelling Grant · Dr. S.G.B. Robinson Travelling Grant Application Form

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Dr. S.G.B. Robinson Travelling Grant Application Form

If you submit this application successfully, you will receive a “thank you” page.  If you do not receive this page, contact Karen Metherall:

This online application form features file upload capability.  You can submit a total maximum file size of 20MB of document attachments.

If you submit your online application form with document attachments over 20MB, you will arrive at a “Page Not Found” error page.  You will then be required to re-submit your file online form keeping within the total file size limit of 20MB.  To avoid arriving at this error page, it is recommended each file attachment be no more than 3MB.

If you have reached the maximum file size and have not included all of your attachments, email the remainder to karen.metherall@osstf.ca.

 

* Denotes mandatory information.

 



Date: Saturday, October 21, 2017

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




CHECKLIST – Have you included the following information?

  • Statement of anticipated expenses
  • Academic and professional qualifications
  • Travel itinerary
  • List of people and organizations contacted for possible visitations
  • Synopsis of travel program
  • Letters of recommendation (minimum of two) from OSSTF/FEESO members in good standing