HomeMy Public PortalAboutLeadership Training Fund Application
MUNICIPALITY OF THE DISTRICT OF CHESTER
LEADERSHIP TRAINING FUND APPLICATION
Name of Applicant (individual or group):
Mailing Address:
Postal Code:
Phone (home, work, cell):
Email:
What training opportunity are you applying for?
Date of Training:
Location of Training:
Where will you use the skills learned?
What is the total cost of registration for the training?___________________________________
If your application is approved, who do we make the cheque payable to?
Who do we mail the cheque to?
Postal Code:
Please provide any further details that you would like us to know about your application:
The Recreation & Parks Department will keep your name, contact information and training on
file. Do you agree to your name being given out to local organizations that may be looking for
an instructor with your qualifications? Yes_____ No_____ Please Initial__________________
Applicant Signature: ________________________________________
Date: ___________________________________
Parent / Guardian Signature (if under 16 years):