2490 Don Reid • Ottawa • ON • K1H 1E1 • Tel./Tél. 613-232-1505 • Fax 613-232-1886 • info@ctf-fce.ca • www.ctf-fce.ca

President/Président H. Mark Ramsankar Heather Smith • Secretary General/Secrétaire générale Cassandra Hallett President-Designate/Présidente désignée Bethany MacLeod

Vice-Presidents/Vice-président(e)s Sam Hammond, Clint Johnston, Shelley Morse, Heidi Yetman

PROJECT OVERSEAS 2019Teachers’ Action for Teaching

Information for Applicants

PLEASE BE SURE TO CALL OR LOG ON TO YOUR MEMBER ORGANIZATIONWEBSITE FOR ADDITIONAL REQUIREMENTS AND DEADLINE INFORMATION.

Please read the following before applying:

1. All candidates must:

• be Canadian citizens;• hold a Canadian passport valid until at least July 2020, at the time of application

(Proof that a passport application has been made will be accepted.);• be members of a provincial or territorial teacher organization that supports PO;• hold a valid teachers’ certificate;• have completed at least five years of teaching in Canada by July 2019;• be in excellent health and able to work in developing country conditions;• have high standards of professionalism and personal conduct;• show evidence of flexibility and mature judgment;• be willing to put the team and project needs above personal needs.

2. The travel and living expenses of participants are covered by contributions from the CTF Members (provincial or territorial teacher organizations) and the Canadian Teachers’ Federation.

3. Travel to the overseas partner country will be arranged by the 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.

4. The commitment to PO is considerable both in and out of the classroom while in the hostcountry. 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 officials.

5. Friends and family are not permitted to accompany the participants 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, the 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. Transportation will be arranged by the partner organization overseas.

9. 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 beprepared to be assigned to any location where there is a CTF Project.

11. CTF is not usually able to confirm the program dates until after the teams are formed. Assignments usually take place in July, however, the commitment to PO begins in January for the team leaders and in February for other participants.

12. For destinations where an entry visa is required, participants may be asked to send their valid passport to the designated travel agent as early as May. Passports will be returned in July in Ottawa, prior to departure for country of assignment.

Sponsoring Member OrganizationsAssociation des enseignantes et des enseignants franco-ontariensPhone: 613-244-2336 www.aefo.on.ca

Ontario Secondary School Teachers’ FederationPhone: 416-751-8300 www.osstf.on.ca

British Columbia Teachers’ FederationPhone: 604-871-2283 www.bctf.ca

Prince Edward Island Teachers’ FederationPhone: 902-569-4157 www.peitf.com

Elementary Teachers’ Federation of OntarioPhone: 416-962-3836 www.etfo.ca

Quebec Provincial Association of TeachersPhone: 514-694-9777 www.qpat-apeq.qc.ca

New Brunswick Teachers’ AssociationPhone: 506-452-8921 www.nbta.ca

Saskatchewan Teachers’ FederationPhone: 306-373-1660 www.stf.sk.ca

Newfoundland and Labrador Teachers’ AssociationPhone: 709-726-3223 www.nlta.nl.ca

Syndicat des enseignantes et enseignants du programme francophone de la Colombie-BritanniquePhone: 604-871-1865 www.sepfcb.com

Northwest Territories Teachers’ AssociationPhone: 867-873-8502 www.nwtta.nt.ca

The Alberta Teachers’ AssociationPhone: 780-447-9400 www.teachers.ab.ca

Nova Scotia Teachers UnionPhone: 902-477-5621 www.nstu.ca

The Manitoba Teachers’ SocietyPhone: 204-888-7961 www.mbteach.org

Nunavut Teachers’ AssociationPhone: 867-979-0750 www.ntanu.ca

Yukon Teachers’ AssociationPhone: 867-668-6777 www.yta.yk.ca

Ontario English Catholic Teachers’ AssociationPhone: 416-925-2493 www.oecta.on.ca

2490 Don Reid • Ottawa • Ont. • K1H 1E1 • Tel./Tél. 613-232-1505 • Fax 613-232-1886 • info@ctf-fce.ca • Échéance 2015

President/Président H. Mark Ramsankar • Secretary General/Secrétaire générale Cassandra HallettPresident-Designate/Présidente désignée Bethany MacLeod

Vice-Presidents/Vice-président(e)s Sam Hammond, Clint Johnston, Shelley Morse, Heidi Yetman

PROJET OUTRE-MER DE 2019Action enseignante pour l’enseignement

Information à l’intention des candidats et candidates VEUILLEZ TÉLÉPHONER À VOTRE ORGANISATION MEMBRE OU OUVRIR UNE

SESSION SUR SON SITE WEB POUR OBTENIR DES RENSEIGNEMENTS SUR 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. Chaque candidat et candidate doit :

• être de citoyenneté canadienne;• avoir, au moment de la présentation de la demande, un passeport canadien

valide au moins jusqu’en juillet 2020 (une preuve qu’une demande de passeport a été faite sera acceptée);

• adhérer à une organisation provinciale ou territoriale de la profession enseignante qui appuie le PO;

• être titulaire d’un certificat d’aptitude pédagogique reconnu;• au mois de juillet 2019, avoir au moins cinq années d’expérience de

l’enseignement au Canada; • jouir d’une excellente santé et pouvoir travailler dans les conditions propres aux

pays en développement;• faire preuve de beaucoup de professionnalisme et avoir une conduite

exemplaire;• faire preuve de jugement et de souplesse;• être prêt à faire passer les besoins de l’équipe et du programme avant ses

besoins personnels.

2. Les frais de déplacement et de séjour des participantes et participants sont couverts par la Fédération canadienne des enseignantes et des enseignants et les contributions de ses organisations Membres (les organisations provinciales et territoriales de l’enseignement).

3. La FCE prendra les arrangements de voyage à destination du 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 PO 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 au tarif excursion, aux conditions qui s’appliquent à ces billets.

4. Participer au PO exige un engagement de tous les instants, aussi bien en salle de classe qu’à l’extérieur dans le pays d’accueil. Outre de longues journées d’enseignement, vous devrez participer à des activités prévues par l’organisation partenaire, notamment des activités sociales et des réunions avec des représentantes et représentants officiels.

5. Les amis et les membres de la famille ne peuvent pas accompagner les participantes et participants du PO, ni pendant le stage d’orientation ni pendant l’affectation outre-mer.

6. Les participantes et participants doivent accepter qu’un projet puisse être annulé à la dernière minute en raison de circonstances imprévues. Advenant l’annulation d’un projet, la FCE ne peut garantir le placement au sein d’une autre équipe.

7. Pour des raisons de budget et de sécurité, les participantes et participants du PO partagent normalement un logement avec un ou plusieurs collègues.

8. Il est défendu aux participantes et participants de conduire des véhicules motorisés pendant leur séjour à l’étranger. Le transport sera pris en charge par l’organisation partenaire d’outre-mer.

9. De retour au Canada, nous encourageons les participantes et participants à parler de leur expérience à l’occasion de réunions de leur organisation de l’enseignement, de groupes communautaires et de leur école, et à participer à des consultations et à d’autres activités pertinentes. Nous les incitons également à rédiger des articles au sujet de leur expérience et à les faire paraître dans des publications lorsque cela est possible.

10. Le Projet outre-mer envoie des équipes en Afrique, dans les Caraïbes et parfois ailleurs. Les participantes et participants doivent être prêts à accepter une affectation à n’importe quelendroit où un programme de la FCE est offert.

11. La FCE n’est habituellement pas en mesure de confirmer les dates des affectations avant la formation des équipes. Les affectations ont généralement lieu en juillet, mais l’engagement envers le PO commence en janvier pour les chefs d’équipe et en février pour les autres participantes et participants.

12. Certaines destinations exigent un visa d’entrée. Le cas échéant, les participantes et participants peuvent être tenus de faire parvenir un passeport valide à l’agence de voyage désignée dès le mois de mai. Les passeports seront rendus à leur titulaire en juillet, àOttawa, avant le départ à destination du pays d’affectation.

Organisations Membres de parrainageAlberta Teachers’ Association (The)Téléphone : 780-447-9400 www.teachers.ab.ca

Manitoba Teachers’ Society (The)Téléphone : 204-888-7961 www.mbteach.org

Association des enseignantes et des enseignants du YukonTéléphone : 867-668-6777 www.yta.yk.ca

New Brunswick Teachers’ AssociationTéléphone : 506-452-8921 www.nbta.ca

Association des enseignantes et des enseignants franco-ontariensTéléphone : 613-244-2336 www.aefo.on.ca

Newfoundland and Labrador Teachers’ AssociationTéléphone : 709-726-3223 www.nlta.nl.ca

Association des enseignants du NunavutTéléphone : 867-979-0750 www.ntanu.ca

Northwest Territories Teachers’ AssociationTéléphone : 867-873-8502 www.nwtta.nt.ca

Association provinciale des enseignantes et enseignants du QuébecTéléphone : 514-694-9777 https://qpat-apeq.qc.ca/?lang=fr

Nova Scotia Teachers UnionTéléphone : 902-477-5621 www.nstu.ca

Fédération des enseignantes-enseignants des écoles secondaires de l’OntarioTéléphone : 416-751-8300 www.osstf.on.ca

Ontario English Catholic Teachers’ AssociationTéléphone : 416-925-2493 www.oecta.on.ca

Fédération des enseignantes et des enseignants de la SaskatchewanTéléphone : 306-373-1660 www.stf.sk.ca

Prince Edward Island Teachers’ FederationTéléphone : 902-569-4157 www.peitf.com

Fédération des enseignantes et des enseignants de l’élémentaire de l’OntarioTéléphone : 416-962-3836 www.etfo.ca

Syndicat des enseignantes et enseignants du programme francophone de la Colombie-BritanniqueTéléphone : 604-871-1865 www.sepfcb.com

Fédération des enseignantes et enseignants de la Colombie-BritanniqueTéléphone : 604-871-2283 www.bctf.ca

Applicant: ______________________________________________________ Date ___________________________ Page 5

Project Overseas 2019“Teachers Teaching Teachers”

APPLICATION FORM FOR ALBERTA TEACHERS’ ASSOCIATIONInformation 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.

• Mail the original to International Cooperation, 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, 2018.• All applications MUST be original copies. Photocopied/faxed applications will not be accepted.

SECTION A

Name: ❒ Male ❒ Female ❒ Other

(First) (Middle) (Last)

Name as it appears on your Canadian passport:

________________________________________________

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: Age:

Mailing address: City: Postal Code:

Telephone: ( ) Cell: ( )

Current workplace name: Present Position:

Address: City: Postal Code:

Telephone: ( ) Fax: ( )

Preferred e-mail: Alternate e-mail:

Your last work day in June 2019 will be:

Date on which your school will reopen after summer break:

Latest date by which you must arrive home after the assignment:

Level of Membership: Active Member of ATA ❒Associate Member of ATA ❒

Applicant: ______________________________________________________ Date ___________________________ Page 6

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. Dates

Degree/Certificate received 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 locationPosition(teacher, principal)

Grades taught Subjects taught

YearsFrom To

OTHER WORK EXPERIENCE (Do not list short-term or summer positions.)

Job title Dates Certificate or Qualifications required Location

Applicant: ______________________________________________________ Date ___________________________ Page 7

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

Language of Instruction

English French Other

Applicant: ______________________________________________________ Date ___________________________ Page 8

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

If yes, in what year(s)? _____________________________________________________

In what country(ies)? ______________________________________________________

Are you interested in being a team leader? ❒ Yes ❒ NoNOTE: 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):

Applicant: ______________________________________________________ Date ___________________________ Page 9

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?

Applicant: ______________________________________________________ Date __________________________ Page 10

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:

Applicant: ______________________________________________________ Date __________________________ Page 11

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?

EXTRACURRICULAR ACTIVITIES

j. Do you possess other training, experience or skills which will contribute to the success of the program(ie in a specific, sport, performing arts, etc) ❒ Yes ❒ No

Applicant: ______________________________________________________ Date __________________________ Page 12

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.

Applicant: ______________________________________________________ Date __________________________ Page 13

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. Principal ❒ Assistant principal ❒ 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: ________________________________________________________________

Position: ______________________________________________________________

Email Address: ________________________________________________________

Mailing Address: _______________________________________________________

City: __________________________________________________________________

Work Phone: ( ) _____________

Cell Phone: ( ) _____________

Postal Code: ________________

SCHOOL BOARD

Name of present school board or employer:

Address:

City: Postal Code:

Telephone: ( ) Fax: ( )

Applicant: ______________________________________________________ Date __________________________ Page 14

ACKNOWLEDGEMENT AND WAIVERPlease complete the English OR French Acknowledgement

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)

_____________________________ (Date)

______________________________________________________________ (Signature of Witness)

_____________________________ (Date)

Applicant: ______________________________________________________ Date __________________________ Page 15

ATTESTATION DE RECONNAISSANCE ET DE RENONCIATION

Je soussigné ou Je soussignée, ________________________________, comprends et accepte que les voyages à l’étranger comportent divers risques et dangers selon le pays visité; que je suis conscient ou consciente qu’en voyageant à l’étranger, je m’expose à des maladies ou à des parasites rares ou non présents au Canada, et que les installations et services médicaux dans le pays d’affectation pourraient ne pas être de la même qualité ou aussi facilement accessibles qu’au Canada;

Je comprends et accepte que les autres pays peuvent présenter un climat, une culture, des conditions sociales, un système judiciaire et une situation politique radicalement différents du Canada; que je suis conscient ou consciente qu’en voyageant à l’étranger, je m’expose à un risque accru d’être victime de violence, de subir des blessures ou de trouver la mort en raison d’actes criminels ou terroristes, d’une guerre ou d’un conflit civil; que je suis également conscient ou consciente qu’en voyageant à l’étranger, je peux être pris pour cible, victime de harcèlement ou de violence, ou faire l’objet d’actions en justice en raison de ma race, de ma religion, de mes opinions politiques, de mon orientation sexuelle, de mon origine ethnique ou d’autres caractéristiques personnelles qui ne posent pas de tels risques au Canada;

Je reconnais que ma décision de voyager dans le cadre de ce programme se fonde sur ma propre connaissance et évaluation des risques. Je ne me suis fié ou fiée à aucun renseignement ou conseil de l’Alberta Teachers’ Association (ATA) pour prendre ma décision. Je reconnais que la responsabilité de m’informer des risques associés aux voyages à l’étranger me revient, maintenant et à l’avenir;

Je comprends que l’ATA n’assume aucune responsabilité envers moi en ce qui a trait à toute réclamation, y compris, mais sans s’y limiter, aux réclamations pour perte, dommages ou blessure, tenant à mon séjour à l’étranger dans le cadre de ma participation à ce programme. Par conséquent, je m’engage à garantir, à défendre, à protéger et à dégager de toute responsabilité l’ATA, ses agents ou les membres de sa haute direction et de son personnel concernant toute réclamation que je pourrais avoir, y compris les pertes, les blessures ou les dommages causés, entièrement ou en partie, par un acte de négligence ou une omission de la part de l’ATA, ses agents ou les membres de sa haute direction et de son personnel.

Il est attendu que les participants se renseigneront au préalable sur les pays qu’ils ont l’intention de visiter, qu’ils consulteront leur médecin généraliste relativement aux voyages à l’étranger, et qu’ils consulteront la page du service Conseils aux voyageurs et avertissements (https://voyage.gc.ca/voyager/avertissements). Il est également conseillé aux participants de s’informer, auprès de leur courtier d’assurance, au sujet des formes de protection offertes, y compris l’assurance vie, l’assurance invalidité, l’assurance médicale, l’assurance contre les enlèvements et les demandes de rançon, et toute autre forme de protection pouvant pallier les risques liés aux voyages à l’étranger.

______________________________________________________________ (Signature du participant ou de la participante)

_____________________________ (Date)

______________________________________________________________ (Signature du témoin)

_____________________________ (Date)

Applicant: ______________________________________________________ Date __________________________ Page 16

ACKNOWLEDGEMENT

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. ❒ Yes

2. I am willing to accept an assignment in any country in which CTF organizes a cooperative project. ❒ Yes

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. ❒ Yes

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

5. I attest that I am a Canadian citizen. ❒ Yes

6. I attest that I have taught fulltime in Canada for five full years. ❒ Yes

7. I attest that I am currently a member of the Alberta Teachers’ Association. ❒ Yes

8. Be in excellent health and able to work in developing country conditions. ❒ Yes

9. Show evidence of flexibility, mature judgment, and a strong willingness to put the team and project needs above personal needs. ❒ Yes

10. I understand that participants are not permitted to drive a motorized vehicle during their stay abroad. ❒ 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

12. I have attached a copy of page 2-3 of my passport ❒ Yes

13. I have signed the attached Participant Acknowledgement and Waiver Agreement and remitted the signed original to the ATA ❒ Yes

14. I consent to the collection, use and disclosure of my personal information provided here to other International Cooperation participants 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). ❒ Yes

Date: Signature:

Applicant: ______________________________________________________ Date __________________________ Page 17

ATTESTATION DE RECONNAISSANCE

En tant que candidate ou candidat à un programme du Projet outre-mer, je comprends et j’accepte les conditions suivantes :

1. Je comprends qu’on fera tous les efforts possibles pour assigner aux candidates et candidats retenus une affectation conforme à leurs compétences et à leur expérience, mais que, vu la nature des demandes provenant des organisations partenaires outre-mer, cela pourrait s’avérer impossible.

❒ Oui

2. Je consens à accepter une affectation dans n’importe quel pays où la FCE organise un programme de coopération. ❒ Oui

3. Je comprends que le Projet outre-mer repose sur le travail en équipe et que les bénévoles sont tenus de partager les logements, tant au Canada que pendant les affectations à l’étrange ❒ Oui

4. Je comprends qu’en raison de la nature du Projet, les membres de la famille et les amis ne peuvent pas accompagner les bénévoles pendant le stage d’orientation ou le séjour à l’étranger ❒ Oui

5. J’atteste que j’ai la citoyenneté canadienne. ❒ Oui

6. J’atteste que j’ai enseigné à temps plein pendant cinq années complètes au Canada. ❒ Oui

7. J’atteste que je suis présentement membre de l’Alberta Teachers’ Association (ATA). ❒ Oui

8. J’atteste que je jouis d’une excellente santé et que je peux travailler dans les conditions propres aux pays en développement. ❒ Oui

9. J’atteste que je ferai preuve de souplesse, d’un bon jugement et d’une volonté ferme de placer les besoins de l’équipe et du projet avant mes besoins personnels. ❒ Oui

10. Je comprends qu’il est interdit aux participants de conduire un véhicule motorisé pendant leur séjour à l’étranger. ❒ Oui

11. J’atteste détenir, au moment de déposer ma demande, un passeport canadien valide pendant au moins 6 mois suivant la fin de mon affectation dans le cadre du Projet (notez qu’il est possible de répondre à cette exigence en fournissant la preuve du dépôt d’une demande de passeport).

❒ Oui

12. J’ai signé l’Attestation de reconnaissance et de renonciation (ci-jointe) et j’en ai remis la version originale signée à l’ATA. ❒ Oui

13. Je consens à la collecte, l’utilisation et la divulgation par l’ATA, au nom de la Fédération canadienne des enseignantes et des enseignants (FCE), des renseignements personnels fournis dans le présent formulaire..

Je comprends que toute photo prise ou vidéo captée pendant mon séjour à l’étranger pourrait être utilisée dans les publications imprimées ou électroniques de l’ATA.

Je comprends et je consens à ce que l’ATA utilise mes renseignements personnels afin de sélectionner les candidatures d’enseignants de l’Alberta au Projet outre-mer qui seront envoyées à la FCE pour une étude plus approfondie.

Advenant ma sélection à titre de candidat de l’Alberta par la FCE, je comprends et je consens à la collecte, l’utilisation et la divulgation de mes renseignements personnels par la FCE pour :a. communiquer avec moi au sujet de ma participation au Projet outre-mer;b. administrer tous les aspects de mon affectation dans le cadre du Projet outre-mer, y compris mes

déplacements et ma rentrée au Canada;c. assurer que toutes les exigences règlementaires et d’admissibilité relatives à ma participation au Projet

outre-mer sont satisfaites.

Je consens à la collecte, l’utilisation et la divulgation par la FCE de renseignements personnels additionnels nécessaires à l’approbation finale de ma demande de participation au Projet outre-mer.

Je comprends que l’agente ou l’agent de la protection de la vie privée de la FCE est disponible pour répondre à mes questions concernant la collecte, l’utilisation et la divulgation de mes renseignements personnels par la FCE (1 866 283-1505).

❒ Oui

Date: Signature:

Applicant: ______________________________________________________ Date __________________________ Page 18

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.

COOR-61 2018 08

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