COOR-61 Project Overseas Application 2017

Canadian Teachers’ Federation
Fédération canadienne des enseignantes et des enseignants
CTF INTERNATIONAL PROGRAM “Teachers’ Action for Learning”
PROJECT OVERSEAS 2017
Teachers’ Action for Teaching
(A joint endeavor by the Canadian Teachers’ Federation and its Members to support
the professional development projects of partner organizations overseas)
Please note that the application is divided into two sections. A copy of Section A, containing information of a
general nature and related to academic background and professional experience, will be sent to the
overseas partner organization.
Section B asks for information of a more personal nature and access to it will be restricted to the National
Selection Committee, your Team Leader, and to the staff of CTF’s International Program.
PLEASE BE SURE TO CALL OR LOG ON TO YOUR MEMBER ORGANIZATION
WEB SITE FOR APPLICATION INFORMATION, ADDITIONAL REQUIREMENTS AND DEADLINE
INFORMATION FOR PROJECT OVERSEAS (PO) APPLICANTS.
Please read the following before applying:
1.
All applicants must:
•
•
•
•
•
•
•
be a member of a provincial or territorial teacher organization that supports PO
hold a valid teachers’ certificate
have completed at least five full years of teaching in Canada before the PO assignment
commences
be a Canadian citizen
be in excellent health and able to work in developing country conditions
show evidence of flexibility, mature judgment, and a strong willingness to put the team and project
needs above personal needs
at the time of application, hold a Canadian passport valid for at least until March 2018;
note – proof that a passport application has been made will be accepted
2.
The travel and living expenses of participants are covered by contributions from CTF Members
(provincial or territorial teacher organizations) and the Canadian Teachers’ Federation.
3.
Travel to the overseas partner country will be arranged by CTF in accordance with the Travel
Guidelines established by the Trustees of the CTF Trust Fund. These guidelines state: “THAT,
efforts be made to apply the lowest possible airfares for travel associated with PO that are consistent
with the objectives of the program.” Consequently, CTF will arrange travel by the most direct and
most economical route and will purchase, whenever possible, excursion air tickets with the limitations
that apply to such tickets.
…/2
2490 Don Reid • Ottawa • ON • K1H 1E1 • Tel./Tél. 613-232-1505 • Fax 613-232-1886 • [email protected] • www.ctf-fce.ca
President/Présidente Heather Smith • Secretary General/Secrétaire générale Cassandra Hallett DaSilva
President-Designate/Président désigné H. Mark Ramsankar
Vice-Presidents/Vice-président(e)s James Dinn, Norm Gould, Francine LeBlanc-Lebel, Shelley L. Morse
4.
The commitment to PO is considerable both in and out of the classroom while in the partner
country. In addition to long teaching days, you will be expected to participate in activities arranged
by the partner organization. These could include social events as well as meetings with the Ministry
of Education representatives, the Executive of the partner organization, etc.
5.
Because of the nature of the Project, participants are not allowed to be accompanied by friends or
family during the Orientation program or during the placement overseas.
6.
Participants must accept that a project may be cancelled at the last minute due to unforeseen
circumstances. In the event of cancellation, CTF cannot guarantee placement on another team.
7.
For budgetary and safety reasons, it is the usual practice that PO participants share
accommodation with one or more colleagues.
8.
Participants are not permitted to drive a motorized vehicle during their stay abroad. The teachers’
organization overseas is usually responsible for providing transportation in connection with the
Project. Other necessary transportation will be arranged by the Team Leader.
9.
There is considerable benefit to sharing PO experiences upon return to Canada. Participants are
encouraged to speak at meetings of their teacher organization, community groups and school, and
to participate in appropriate consultations and other events. Participants are also encouraged to
write articles about their experiences and submit them for publication wherever possible.
10.
PO operates in Africa and the Caribbean and, occasionally, elsewhere. Participants must be
prepared to be assigned to any location where there is a CTF Project.
11.
CTF in not usually able to confirm the program dates until after the teams are formed. Programs
usually take place in July and/or August, however, the commitment to PO begins in February, as
team members work together to prepare workshop materials (via the internet and teleconferences),
communicate and collaborate with their assigned co-tutor, conduct research on their country of
assignment, etc.
12.
Participants will be required to send their valid passport to the designated travel agent in order to
secure required visas as early as May. Passports will be returned during the Orientation Program,
prior to departure for country of assignment.
Sponsoring Member Organizations
Association des enseignantes et des enseignants franco-ontariens
Phone: 613-244-2336
www.aefo.on.ca
British Columbia Teachers’ Federation
Phone: 604-871-2283
www.bctf.ca
Elementary Teachers’ Federation of Ontario
Phone: 416-962-3836
www.etfo.ca
New Brunswick Teachers’ Association
Phone: 506-452-8921
www.nbta.ca
Newfoundland and Labrador Teachers’ Association
Phone: 709-726-3223
www.nlta.nl.ca
Northwest Territories Teachers’ Association
Phone: 867-873-8502
www.nwtta.nt.ca
Nova Scotia Teachers Union
Phone: 902-477-5621
www.nstu.ca
Nunavut Teachers’ Association
Phone: 867-979-0750
www.ntanu.ca
Ontario English Catholic Teachers’ Association
Phone: 416-925-2493
www.oecta.on.ca
Prince Edward Island Teachers’ Federation
Phone: 902-569-4157
www.peitf.com
Quebec Provincial Association of Teachers
Phone: 514-694-9777
www.qpat-apeq.qc.ca
Saskatchewan Teachers’ Federation
Phone: 306-373-1660
www.stf.sk.ca
Syndicat des enseignantes et enseignants du programme
francophone de la Colombie-Britannique
Phone: 604-871-1865
www.sepfcb.com
The Alberta Teachers’ Association
Phone: 780-447-9400
www.teachers.ab.ca
The Manitoba Teachers’ Society
Phone: 204-888-7961
www.mbteach.org
Yukon Teachers’ Association
Phone: 867-668-6777
www.yta.yk.ca
Canadian Teachers’ Federation
Fédération canadienne des enseignantes et des enseignants
PROGRAMME INTERNATIONAL de la FCE : Action enseignante pour l’apprentissage
PROJET OUTRE-MER 2017
Actionenseignantepour l’enseignement
(Une entreprise commune de la Fédération canadienne des enseignantes et des enseignants et de ses organisations
Membres pour offrir une aide professionnelle aux enseignantes et enseignants dans des pays en développement.)
Nous vous signalons que le formulaire de demande de participation comporte deux parties. Une copie de la
partie A, qui renferme des renseignements généraux et relatifs aux antécédents scolaires et à l'expérience
professionnelle, sera envoyée à l'organisation d'accueil outre-mer. La partie B contient des renseignements
d'ordre plus personnel, auxquels seuls le Comité national de sélection, votre chef d'équipe et le personnel des
Programmes internationaux de la FCE auront accès.
VEUILLEZ COMMUNIQUER AVEC VOTRE ORGANISATION DE L’ENSEIGNEMENT OU CONSULTER SON
SITE WEB POUR OBTENIR DES RENSEIGNEMENTS SUR LA PRÉSENTATION D’UNE DEMANDE, LES
EXIGENCES SUPPLÉMENTAIRES ET LA DATE LIMITE DE PRÉSENTATION DES DEMANDES.
Nous vous prions de lire les notes qui suivent avant de poser votre candidature :
1.
Les exigences suivantes s'appliquent à toute personne qui fait demande au Projet outre-mer :
•
•
•
•
•
•
•
être membre d'une organisation provinciale ou territoriale de la profession enseignante qui appuie le PO
être titulaire d'un certificat d'aptitude pédagogique reconnu
posséder au moins cinq années complète d'expérience de l'enseignement au Canada avant le début
de l’affectation outre-mer
être de citoyenneté canadienne
jouir d'une excellente santé et pouvoir travailler dans les conditions propres aux pays en développement
faire preuve de souplesse, de bon jugement et d'une forte volonté de faire passer les besoins de l'équipe
et du programme avant ses besoins personnels
au moment de la demande, avoir un passeport canadien qui sera valide au moins jusqu’en mars 2018
— une preuve qu'une demande de passeport a été faite sera acceptée.
2.
Les frais de déplacement et de séjour des volontaires sont couverts par les contributions de la Fédération
canadienne des enseignantes et des enseignants (FCE) ainsi que de ces Membres (les organisations
provinciales et territoriales de l'enseignement).
3.
La FCE fera les arrangements de voyage au pays partenaire conformément aux lignes directrices
établies par les fidéicommissaires du Fonds en fiducie de la FCE, qui prévoient ce qui suit : « QUE des
efforts soient faits pour choisir les tarifs aériens les moins chers possible pour les voyages qui sont
effectués dans le cadre du Projet outre-mer et qui sont conformes aux objectifs de ce programme. » Par
conséquent, la FCE choisira l'itinéraire le plus direct et le plus économique et achètera, autant que
possible, des billets à tarif excursion aux conditions qui s'appliquent à ces billets.
…/2
2490 Don Reid • Ottawa • ON • K1H 1E1 • Tel./Tél. 613-232-1505 • Fax 613-232-1886 • [email protected] • www.ctf-fce.ca
President/Présidente Heather Smith • Secretary General/Secrétaire générale Cassandra Hallett DaSilva
President-Designate/Président désigné H. Mark Ramsankar
Vice-Presidents/Vice-président(e)s James Dinn, Norm Gould, Francine LeBlanc-Lebel, Shelley L. Morse
4.
L'engagement envers le Projet outre-mer est considérable, tant à l'intérieur qu'à l'extérieur de la classe,
tout au long du séjour dans le pays partenaire. Outre de longues journées d’enseignement, vous
devrez participer à des activités arrangées par l’organisation partenaire, notamment des activités
sociales ainsi que des réunions avec les personnes représentant le ministère de l'Éducation et le
Comité exécutif de l'organisation partenaire, notamment.
5.
Vu la nature du Projet outre-mer, les volontaires n’ont pas le droit d'être accompagnés de membres de
leur famille ou d'amis au cours du stage d'orientation ni pendant l’affectation outre-mer.
6.
Les volontaires doivent accepter qu'un projet puisse être annulé à la dernière minute en raison de
circonstances imprévues. En cas d’annulation, la FCE ne peut pas garantir le placement au sein d'une
autre équipe.
7.
Pour des raisons de budget et de sécurité, les volontaires du Projet outre-mer partagent normalement
un logement avec un ou plusieurs collègues.
8.
Il est défendu aux volontaires de conduire des véhicules automobiles pendant leur séjour à l'étranger. Il
appartient d'ordinaire à l'organisation d'accueil de fournir le transport se rattachant au programme.
Votre chef d'équipe arrangera tout autre transport nécessaire.
9.
Il est très profitable de communiquer les expériences vécues dans le cadre du Projet outre-mer une fois
de retour au Canada. Nous encourageons les volontaires à parler de leurs expériences à des réunions de
leur organisation de l’enseignement, à des groupes communautaires et à l’école, et à participer à des
consultations et à d’autres activités pertinentes. Nous les prions également de rédiger des articles au
sujet de leurs expériences et de les faire paraitre dans des publications chaque fois qu’ils le peuvent.
10.
Le Projet outre-mer envoie des équipes en Afrique et dans les Caraïbes et occasionnellement ailleurs.
Les volontaires doivent être disposés à accepter une affectation à n'importe quel endroit où un
programme de la FCE est offert.
11.
La FCE n’est habituellement en mesure de confirmer les dates des programmes qu’après la formation
des équipes. Les programmes se déroulent normalement en juillet et en aout; toutefois, les tâches
relatives au PO débutent en février. En effet, dès ce mois, les membres des équipes travaillent ensemble
à préparer les documents des ateliers (au moyen d’Internet et de téléconférences), communiquent et
collaborent avec la coïnstructrice ou le coïnstructeur qui leur a été assigné, effectuent des recherches sur
le pays d’affectation, et ainsi de suite.
12.
Dès le mois de mai, les volontaires devront envoyer leur passeport valide à l’agence de voyage
désignée afin qu’elle puisse se procurer les visas requis. Les passeports seront retournés aux volontaires
pendant le stage d’orientation, avant le départ à destination du pays d’affectation.
Organisations Membres de parrainage
Association des enseignantes et des enseignants du Yukon
Téléphone : 867-668-6777
www.yta.yk.ca
Association des enseignantes et des enseignants franco-ontariens
Téléphone : 613-244-2336
www.aefo.on.ca
Association provinciale des enseignantes et enseignants du Québec
Téléphone : 514-694-9777
www.qpat-apeq.qc.ca
Fédération des enseignantes et des enseignants de la Saskatchewan
Téléphone : 306-373-1660
www.stf.sk.ca
Fédération des enseignantes et des enseignants de
l'élémentaire de l'Ontario
Téléphone : 416-962-3836
www.etfo.ca
Fédération des enseignantes et enseignants de
la Colombie-Britannique
Téléphone : 604-871-2283
www.bctf.ca
New Brunswick Teachers’ Association
Téléphone : 506-452-8921
www.nbta.ca
Newfoundland and Labrador Teachers’ Association
Téléphone : 709-726-3223
www.nlta.nl.ca
Northwest Territories Teachers’ Association
Téléphone : 867-873-8502
www.nwtta.nt.ca
Nova Scotia Teachers Union
Téléphone : 902-477-5621
www.nstu.ca
Association des enseignants du Nunavut
Téléphone : 867-979-0750
www.ntanu.ca
Ontario English Catholic Teachers’ Association
Téléphone : 416-925-2493
www.oecta.on.ca
Prince Edward Island Teachers’ Federation
Téléphone : 902-569-4157
www.peitf.com
Syndicat des enseignantes et enseignants du programme
francophone de la Colombie-Britannique
Téléphone: 604-871-1865
www.sepfcb.com
The Alberta Teachers’ Association
Téléphone : 780-447-9400
The Manitoba Teachers’ Society
Téléphone : 204-888-7961
www.teachers.ab.ca
www.mbteach.org
Project Overseas 2017
“Teachers Teaching Teachers”
APPLICATION FORM FOR ALBERTA TEACHERS’ ASSOCIATION
Information on this form is collected on behalf of the CTF
• Please provide all information requested in the space assigned for each response. Incomplete applications will not
be processed.
• French applicants are asked to complete their initial application in English and in French in a final selection at the
national level.
• Print, date and sign each page of your application. Mail the original to Brenda Dobie, Program Assistant,
Alberta Teachers’ Association, 11010 142 Street NW, Edmonton AB T5N 2R1. Do not fax or e-mail your application.
• Ensure that your application is received by midnight November 1, 2016.
• Please contact Brenda Dobie at 780-447-9400 ext 657 for further information.
• All applications MUST be original copies. Photocopied/faxed applications will not be accepted.
SECTION A
❒ Male
Name:
(First)
(Middle)
❒ Female ❒ Other
(Last)
Name as it appears on your Canadian passport:
Level of Membership:
Active Member of ATA
Associate Member of ATA
Passport expiration date: ❒
❒
PLEASE ATTACH A PHOTOCOPY OF PAGE 2-3 OF YOUR CANADIAN
PASSPORT TO THIS FORM OR PROVIDE PROOF OF YOUR PASSPORT APPLICATION
Year of birth:
Home address:
Age:
City:
Cell: (     )
Telephone: (     )
Current workplace name:
Address:
Postal Code:
Present Position:
City:
Postal Code:
Telephone: (     )
Fax: (     )
Preferred e-mail:
Alternate e-mail:
Your last work day in June 2017 will be:
Date on which your school will reopen after summer break:
Latest date by which you must arrive home after the assignment:
Signature of Applicant: ____________________________________________ Date ____________________________ Page 5
Please complete this page. Do
not send a résumé or curriculum vitae.
ACADEMIC BACKGROUND (List most recent studies first.)
Name and location of teacher training institution or
university and recent summer courses.
Degree/Certificate
received
Dates
Major area of study
TEACHING BACKGOUND (List most recent assignment first, and indicate if you worked full-time,
part-time or as a supply teacher.)*
*Days worked as a supply teacher may require written confirmation from school district
School and location
Position
(teacher, principal)
Grades
taught
Subjects taught
From
Years
To
OTHER WORK EXPERIENCE (Do not list short-term or summer positions.)
Job title
Dates
Certificate or Qualifications required
Location
Signature of Applicant: ____________________________________________ Date ____________________________ Page 6
LINGUISTIC ABILITY
Rate your ability by selecting the appropriate level (from the dropdown box) on each category for each language:
English
French
Oral Comprehension
➜
➜
➜
➜
Written Comprehension
Oral Expression
Written Expression
➜
➜
➜
➜
In what language did you complete your studies?
Secondary level:
❒ English
❒ French
❒ Other (specify)______________________
University:
❒ English
❒ French
❒ Other (specify)______________________
What is your first language?
❒ English ❒ French ❒ Other (specify)______________________
In what language can you competently teach?
❒ English ❒ French ❒ Other (specify)______________________
SUBJECT PREFERENCES
Bearing in mind that you will likely be teaching both content and methodology to under-qualified teachers, what
subjects and levels would you feel confident teaching and in which language(s)? (We typically receive many
requests for teachers interested in teaching mathematics, English language arts, science, social studies, assistive
technologies and school administration. Other topics in demand are classroom management, action research,
teacher mentorship, special education, student assessment, physical education, health, leadership, gender equity,
and trade unionism.)
Subject
Primary
Elementary Secondary
English
French
Other
Signature of Applicant: ____________________________________________ Date ____________________________ Page 7
EXPERIENCE IN ORGANIZATIONS
Outline your involvement in the Alberta Teachers’ Association: (eg Specialist Council conference director,
presented a session at teachers’ convention, president of Economic Policy Committee)
Outline your involvement in other educational organizations:
INTERNATIONAL COOPERATION PROGRAMS
a.
Have you ever participated in CTF’s Project Overseas?
❒ Yes
❒ No
❒ Yes
❒ No
If yes, in what year(s)? ______________________________________________________
In what country(ies)? _______________________________________________________
Are you interested in being a team leader?
NOTE: Whenever possible, we select Team Leaders with prior Project Overseas experience. Team Leaders must be available to initiate
and facilitate correspondence with and between the Team Members, the Host Organization and CTF from February to July. We do not
recommend you volunteer to be a Team Leader if you will be unavailable for much of that period. Team Leaders are also required to
attend a training session in Ottawa in late February and a debriefing in October, following Project Overseas.
b.
Have you ever participated in intercultural cooperation programs designed to assist people? ❒ Yes
❒ No
Overseas (specify countries, dates and nature of program):
In Canada (dates and nature of program):
List any other international and/or intercultural experience that you have had, including location(s), dates and
duration of the experience(s):
Signature of Applicant: ____________________________________________ Date ____________________________ Page 8
SECTION B
PLEASE RESPOND BRIEFLY WITHIN SPACE PROVIDED.
a. Why do you wish to participate in Project Overseas?
b. Why do you think you are well suited to such an assignment?
c. What do you see as the responsibilities of Project Overseas team members?
Signature of Applicant: ____________________________________________ Date ____________________________ Page 9
d. In your opinion, what are some of the challenges of participating in Project Overseas? How would you cope with
these challenges?
e. What do you think the general aims and objectives of a Project Overseas professional development program
should be?
f. On Project Overseas, it is important to put what is best for Project Overseas and your team before your own
needs and wants. Please provide at least one example of when you have done so in the past?
g. Please describe any experience you have had facilitating workshops/teaching courses to adults:
Signature of Applicant: ____________________________________________ Date ___________________________ Page 10
h. Please describe how you would share what you learn through Project Overseas upon return to Canada.
i. How do you feel your experience will change your professional practice? Your engagement within the
Association?
EXTRA-CURRICULAR ACTIVITIES
j. Do you possess other training, experience or skills which will contribute to the success of the program
Yes
No
(ie in a specific, sport, performing arts, etc)
❒
❒
Signature of Applicant: ____________________________________________ Date ___________________________ Page 11
HEALTH
k. How would you grade your current level of health?
(Poor)
❒ 1 ❒ 2 ❒ 3 ❒ 4 ❒ 5 ❒ (Excellent) ❒
Project Overseas participants are often exposed to extreme weather conditions, less-than-perfect housing and
sanitary conditions, unfamiliar diet and long work hours. Access to medical facilities and care may not be available
in some locations. Given these circumstances, do you believe that your present level of health would allow you to
be a fully active participant in a Project Overseas team?
❒ Yes
❒ No
List any technical aids (cane, hearing aids, etc), or accessibility requirements (ramps, grab bars in washrooms,
etc) you need, as well as food allergies or dietary restrictions you may have. Also indicate allergies or factors
that we should be aware of prior to an overseas placement, such as sensitivity to malaria prevention or other
medications, aversion to particular modes of travel, insects, etc.
Note: If you are selected at the national level you will be required to send a written confirmation of good
health by your doctor.
Signature of Applicant: ____________________________________________ Date ___________________________ Page 12
REFERENCES
I authorize the Alberta Teachers’ Association and the Canadian Teachers’ Federation to contact the two
persons listed below in order to determine my suitability to participate in Project Overseas.
1. Current principal, assistant principal or superintendent: ____________________________________________________
Name: _________________________________________________________________
Email Address: _________________________________________________________
Mailing Address: ________________________________________________________
City: ___________________________________________________________________
Work
Phone: (     ) ______________
Cell
Phone: (     ) ______________
Postal Code: ________________
2. Either
(1) an Alberta Teachers’ Association official at the provincial or local level or
(2) someone in the field of education (such as a university professor or an official with Alberta
Education) who can attest to your involvement in education and your suitability as an ambassador
of Alberta teachers:
Name and Position: _____________________________________________________
Work
Phone: (     ) ______________
Email Address: _________________________________________________________
Cell
Phone: (     ) ______________
Mailing Address: ________________________________________________________
City: ___________________________________________________________________
Postal Code: ________________
SCHOOL BOARD
Name of present school board or employer:
Address:
City:
Telephone: (     )
Postal Code:
Fax: (     )
Signature of Applicant: ____________________________________________ Date ___________________________ Page 13
ACKNOWLEDGEMENT AND WAIVER
I, ________________________, acknowledge that international travel entails being exposed to a
variety of risks and hazards depending on the country travelled to. I am aware that when traveling to
other countries I may be exposed to contracting local illnesses, diseases or parasites that are rare or not
present in Canada and that the available medical care may also be very different than in Canada.
Other countries may have markedly different physical climates, cultures, social conditions, legal
systems and political situations than Canada’s. I am aware that traveling to other countries may mean
that I will be at greater risk of being the victim of violence, injury or death due to acts of crime, war,
civil conflict or terrorism. I am also aware that by traveling to other countries I may be targeted,
harassed, subjected to violence or subject to legal proceedings based on my race, religion, political
views, sexual orientation, ethnic origin or other personal qualities or characteristics which do not
create similar risks in Canada.
I have made my decision to travel in this program based on my own knowledge and evaluation of these
risks. I have not relied on any information or advice from the Alberta Teachers’ Association (ATA) for
that decision. I acknowledge that it is and will remain my responsibility to inform myself of any risks
associated with international travel.
I waive the right to advance any claim or action against the ATA or any of its agents, employees or
officers for or by reason of any injury, damage or loss I may suffer during my time abroad in this
program, even if that loss is caused or contributed to by the negligent act or omission of the ATA or
any of its agents, employees or officers. I further undertake to indemnify, save and hold harmless and
defend the ATA and any of its employees or officers with respect to any such claim or action.
Participants are expected to research the countries they intend to travel to, to consult with their
general physician with respect to international travel and to consult the Government of Canada Travel
Advisory service at http://travel.gc.ca/travelling/advisories. Participants are also advised to ask their
insurance broker about forms of coverage including life insurance, disability insurance, medical
insurance, kidnap and ransom insurance and any other forms of coverage available to help deal with
the risks of international travel.
______________________________________________________________
(Signature of Participant)
______________________________________________________________
(Signature of Witness)
_____________________________
(Date)
_____________________________
(Date)
Signature of Applicant: ____________________________________________ Date ___________________________ Page 14
ACKNOWLEDGMENT
As a Project Overseas applicant, I understand and accept the following conditions:
1. I understand that every effort will be made to assign successful applicants in accordance with their skills and
experience, but I am also aware that the nature of the requests from host countries may make this impossible.
2. I am willing to accept an assignment in any country in which CTF organizes a cooperative project.
3. I understand that Project Overseas is a collaborative team effort and participants are expected to share
accommodation, both in Canada and while on assignment overseas.
4. I understand that because of the nature of the Project, I am not allowed to be accompanied by friends or family
during the Orientation program or during the placement overseas.
❒ Yes
❒ Yes
❒ Yes
11. At the time of application, hold a Canadian passport valid for at least 6 months after the PO assignment
concludes; (note - proof that a passport application has been made will be accepted.)
❒ Yes
❒ Yes
❒ Yes
❒ Yes
❒ Yes
❒ Yes
❒ Yes
❒ Yes
12. I have signed the attached Participant Acknowledgement and Waiver Agreement and remitted the signed
original to the ATA
❒ Yes
5. I attest that I am a Canadian citizen.
6. I attest that I have taught fulltime in Canada for five full years.
7. I attest that I am currently a member of the Alberta Teachers’ Association.
8. Be in excellent health and able to work in developing country conditions.
9. Show evidence of flexibility, mature judgment, and a strong willingness to put the team and project needs above
personal needs.
10. I understand that participants are not permitted to drive a motorized vehicle during their stay abroad.
13. I consent to the collection, use and disclosure of my personal information provided here by the Alberta
Teachers’ Association on behalf of the Canadian Teachers’ Federation.
I understand that any photos or videos I take during my time overseas can be used for ATA publications either
in print or electronically.
I consent to and understand that the Alberta Teachers’ Association will use my personal information for the
purpose of selecting Alberta Project Overseas nominees to be forwarded to the Canadian Teachers’ Federation
for further consideration.
I consent to and understand that, if I am selected as an Alberta nominee by the Canadian Teachers’ Federation,
my personal information will be collected, used, and disclosed by the Canadian Teachers’ Federation for the
purpose of:
a. Communicating with me respecting my involvement in Project Overseas.
b. Administering all aspects of my Project Overseas assignment, travel, and return to Canada.
c. Ensuring all regulatory and eligibility requirements related to my involvement in Project Overseas are met.
I consent to the Canadian Teachers’ Federation’s further collection, use and disclosure of additional
personal information required to grant final approval to my application to participate in Project Overseas.
I understand that the privacy officer of the Alberta Teachers’ Association is available to answer my questions
regarding that organization’s collection, use or disclosure of my personal information
(780-447-9400 or 1-800-232-7208).
I understand that the privacy officer of the Canadian Teachers’ Federation is available to answer my questions
regarding CTF’s collection, use or disclosure of my personal information (1-866-283-1505).
Date:
❒ Yes
Signature:
Signature of Applicant: ____________________________________________ Date ___________________________ Page 15
INTERNATIONAL COOPERATION PROJECTS OTHER
THAN PROJECT OVERSEAS
The ATA is involved in a number of International Cooperation projects other than Project
Overseas. From time to time teachers are needed to assist with these projects in similar
capacities. If you are interested in being considered for such work, please sign below confirming
your willingness to keep your file active with the Association for a period of one year from the
date your application was received.
I would like to keep my file active with the Association for a period of one year, in order to be
considered for International Cooperation projects other than Project Overseas within this time
period. I understand that my personal information will remain confidential and will be used for the
sole purpose of such intiatives.
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Signature of Applicant: ____________________________________________ Date ___________________________ Page 16
COOR-61 2016 09