Application Form Instructions

  • Applicants are expected to apply a minimum of 10 working days BEFORE the activity occurs in order for the SRTA PD Committee to consider the application prior to the date of the activity.
  • This completed application form will be submitted to pdchair@srteach.org.
  • Any changes in the activity approved by the SRTA PD Committee must be reported to pdchair@srteach.org immediately and is subject to an amending approval from the SRTA PD Committee.

Please refer to the SRTA PD guidelines for each category’s application deadlines and descriptions.

Fields marked with an asterisk (*) required.

Member Information

  1. *Name of Applicant:
  2. *SRSD Email Address:
  3. *Date of application:
  4. *School/Workplace:
  5. *Member Status for 2018-2019:
  6. Effective dates of Term Contract or Leave of Absence:
  7. *Teaching Position:
  8. PD Description

  9. *Date(s) of activity: to
  10. *Location of activity:
  11. *Name and detailed description of PD activity:
  12. *In detail, indicate relevance of PD opportunity. (i.e. PGM, teaching load):
  13. PD Costs

  14. *Substitute days (Number of work days the event covers):
  15. *Registration costs (maximum per year is $800): $