GPA Reimbursement form – Salary and Manuals – Health + Community Care Workforce Sector Council

Funding is available contingent on remaining Council budget. Please contact the council should you have questions.

Organizational details

GPA Training

Please pick the GPA Training for which you are applying for reimbursement.

Date of training

Please enter the date on which the training took place.

Organization name

Please enter the name of the organization you work for.

Organization contact name

First

Last

Please enter your name

Organization contact email

Please enter your email address

Reimbursement application

Select the type(s) of reimbursement you are applying for

Select reimbursement options

This field is multi-select, please choice all reimbursement options that apply.

Reimbursement for manuals

($) training course

Salary reimbursement GPA Coaches

Coach name

First

Last

Coach position

Enter the job title of the coach.

Hourly rate ($)

This is a number field, please do not include formatting (e.g., “$”). Please note that the hourly rate should be inclusive of benefits.

Number of hours being claimed

Salary reimbursement GPA participants

Participant name

First

Last

Participant position

Enter the job title of the participant.

Hourly rate ($)

This is a number field, please do not include formatting (e.g., “$”). Please note that the hourly rate should be inclusive of benefits.

Number of hours being claimed

Proof of course completion/attendance

Click or drag files to this area to upload.You can upload up to 20 files.

Please upload proof of course completion/attendance for EACH participant. Additionally, please note that only the following file types are accepted: pdf, jpg, png.