Bursary Fund – Agency Application

Bursary Fund - Agency Application

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Before you begin you will need know:

Your agency’s Charity Registration Number (A charity registration number is 15-digit program account number assigned to a charity by the Canada Revenue Agency).
The format of training you will offer (community of practice, conference, course, retreat, institute, workshop)
A list of anticipated costs for this professional development

A. Contact Information

(* Indicates Required Field)

Agency Name

Agency Mailing Address

Address

City

Postal Code

First Name

Last Name

Your Contact Phone Number

Your Agency Position

B. Requirements for Funding

Non-Profit Charity Status

To be eligible for bursary funds:

Your agency must be a non-profit organization that provides professional development for child care professionals.
Your agency must be a qualified donee with a Charity Registration Number.

1. Charity Registration Number

If you are another non-profit agency that provides professional development for child care professionals but you do not have a Charity Registration Number, check this box.

My agency/group does not have a charity registration number.

Demographic Information

The Bursary Fund Program is mandated to collect information that shows who benefited from the Bursary’s financial support. If approved for Bursary Funding, you are required to collect and report the following information from participants who participated in the training:

Postal codes of all participants
Indigenous status (First Nations, Métis or Inuit) of all participants
Professional Designation (ECE, ECEA, School Age, LNR, RNLRs, or any other professional designation) of all participants
Francophone (any participant whose first language is French) participants

This information is typically collected at the time individuals register for the training.

Will you collect and report on the demographic information required by the Bursary Fund Program as described above?

Yes

I have questions

Please state your question

C. Evaluation

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1. Will you participate in an evaluation process that will include a brief online report and/or meetings with the Bursary Team?

Yes

Have questions

Please state your question

D. Professional Development Plan

1. What is the topic or subject area of this professional learning experience?

2. How is this professional learning experience guided and informed by concepts or principles in the Early Learning Framework, the Indigenous Early Learning and Child Care Framework and/or the Métis Early Learning Framework?

3. What is the type of professional development you plan on offering?

Conference

Workshop

Community of Practice

Other: Please describe below

4. What will be the format of this professional learning experience?

Face-to-face

Online

A blend of both face-to-face and online

I'm not sure

5. When do you plan to offer this professional learning experience? Provide dates below:

6. Briefly describe the plan and purpose of this professional learning experience. Need help with the description? State your questions below.

7. What are the success outcomes you are aiming for with this professional learning experience?

A key objective of this Bursary Fund is to build capacity among child care professionals. This is interpreted as “building the potential for a person to experience, demonstrate or perform a competency/expression or understanding.”

8. How do you predict these bursary funds help to build professional capacity with your participants?

To measure how the bursary funds impacted participants you will be asked to include this question (which may be customized to suit your context) on the post-event survey.

The ECE Professional Development Bursary Program subsidized **** (insert the costs that were subsidized, i.e. registration, transportation, accommodation etc. ) for this event. In what ways did these reduced rates make a difference for you in this learning experience?

9. Will you include this question (or a suitable customized version of this question) on your post-event survey and provide the answers in the Bursary Report?

Yes

I have questions

Please state your question

10. Specific feedback from participants is very important to this Bursary Fund Project. Will you share pertinent comments/feedback/quotes from participants?

Yes

Not sure

11. Will you be collaborating with other agencies or communities?

Yes, please describe below

No, but if we would like to collaborate with other agencies/communities. Please describe your intentions or questions below.

12. How will you extend your reach to other communities such as First Nations, Métis and/or Inuit communities to invite them to participate in this professional development? Not sure? Share your questions below.

13. How will you reach out to child care professionals in rural and remote areas to participate in this professional development? Not sure? Share your questions below.

14. How many people do you anticipate will attend this professional development experience?

15. Will your agency provide a certificate for professional development hours obtained by participants?

Yes

E. Anticipated Costs

1. Describe your agency’s plans for using Bursary Funds. Consider costs such as reducing registration, subsidizing travel expenses, accommodation, learning resources, speaker fees, facility rental, and/or catering. If Bursary funds are requested to reduce registration fees, please describe the full cost of the registration fee in the Description field and the amount supplemented by the Bursary funds in the Cost field.

Description

Cost ($)

Description

Cost ($)

Description

Cost ($)

Description

Cost ($)

Description

Cost ($)

Description

Cost ($)

Description

Cost ($)

TOTAL COSTS

Total Cost ($)

2. Describe other funding or any other revenue you expect to obtain in order to also further reduce the costs to participants.

Revenue

Amount ($)

Revenue

Amount ($)

Revenue

Amount ($)

Revenue

Amount ($)

TOTAL REVENUE

Total Revenue ($)

TOTAL FUND REQUEST ($)

Is there any more information you would like to provide or questions you may have?

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