Confirmation of Professional Development 2017-2018
Please complete this form and submit within four weeks of completion of course/conference/workshop attendance
First and Last Name: *
Email Address: *
School: *
School Board: *
Home Address: *
Telephone: *
Type of professional development: *
The Centre will issue the reimbursement cheque to (Please indicate the appropriate one): *
I have received funds from another source. (ie: Alberta Education, ATA) *
If yes, please provide a copy of the amount and indicate from what source:
Total amount claimed by teacher. (Must not surpass $1200) *
1.Receipt for course completion 2. Receipt for conference/session registration including receipts for hotel, travel and food expenses($50/day). Subtract all alcohol beverages from receipts. Note that the Centre does not provide mileage, only gas receipts. 3.Receipts for immersive experience
Please upload your receipts here in PDF format only. *
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