PD Fund Other (Formerly Classroom Visit) Application 2020-2021

    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 automatically 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.
    • Each applicant is eligible for one (1) day of substitute coverage equivalent to FTE status.
    • Part-time teachers should email the PD chair prior to taking part in activity.

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

    Fields marked with an asterisk (*) required. School-wide PD Activities are ineligible for funding.

    Member Information

    1. *Name of Applicant:
    2. *SRSD Email Address:
    3. *Date of application:
    4. *School/Workplace:
    5. *Member Status for 2020-2021:
    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(s) of partner(s)/mentor(s) and detailed description of how you will be connecting (i.e. what in their class are you observing?):
    12. *In detail, indicate goal(s) for the connection (i.e. learning a new concept, expanding established teaching practices, etc.) – must be related to current teaching load: