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Demande de remboursement | Request for Reimbursement 2021-2022
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Veuillez compléter cette demande quatre semaines avant votre participation à un cours, un congrès ou atelier.
Please complete this form four weeks prior to course/conference/workshop.
Prénom et nom: | First and Last Name:
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Your answer
Adresse électronique: | Email Address:
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Your answer
École : | School:
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Your answer
Conseil scolaire: | School Board:
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Choose
GPPSD
GPCSD
PWSD
HPSD
PRSD
HFCRD
CSNO
Adresse domicile: | Home Address:
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Your answer
Téléphone : | Telephone:
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Your answer
Décrivez le type de perfectionnement professionnel planifié « ex. : congrès ACPI au Québec » : | Describe the type of professional development planned (Ex: ACPI Conference in Québec City):
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Your answer
Estimation du montant demandé. Le Centre offre jusqu’ à 1200 $ par enseignant par an. | Estimation of amount requested. The Centre provides up to $1200 per teacher per year.
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Your answer
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