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Reflection Form

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(This Application ID was provided when you submitted your initial application)

The Early Learning Childcare Professional Development Bursary Fund

Please answer the following questions about the financial support you received from the Early Learning Childcare Professional Development Bursary Fund (ELC).

Financial Expense and Information Form (Individual Applicants)

We need the information requested below in order to provide you a bursary supporting the expenses you incurred while attending a professional development event. This bursary may be a taxable benefit. We will send you a T4A form for the funds that you receive from us.

We respect and uphold an individual’s right to privacy and to protection of his or her personal information. We are committed to collecting, using and disclosing personal information in accordance with all applicable federal and provincial privacy laws.

Individual Financial Institution Information (to facilitate direct deposit)

Max 5 digits

Max 10 digits

Individual Information (For T4A Purposes)

No spaces

Expenses

Mileage Claims

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