Training Reimbursement Request – Health + Community Care Workforce Sector Council

Attended Funding details

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

Organization details

Funding source

Business/Organization name

Mailing Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Please enter your organizations mailing address details.

Training Attended

Training date

Please enter the date that participants received training.

Submitted by

Please enter your contact information.

The council collects this information in case a need arises to contact you for further details.

Name

First

Last

Email

Notes/Comments

Please enter any additional information that they council may need in order to process your request.

Participant details

Please enter the details of all participants for which you are seeking reimbursement.

Participant

Name

First

Last

Position

Pay rate

This is an input validated field. Only numbers are accepted as input, do not include “$” or other formatting. Please note that the hourly rate should be inclusive of benefits.

Union member?

Hours Attended