Navigate Student Learning Resource Funding Policy

STUDENT LEARNING RESOURCE FUND (SLRF)

"*" indicates required fields

IMPORTANT:

Please direct all funding queries to your program teacher
We are unable to reimburse families for resources already purchased.

Student Information

Student's Name:*

First Last

Student's Birthdate:*

Parent/Guardian Information

Parent/Guardian's Name:*

First Last

Parent/Guardian's Email:*

Parent/Guardian's Phone:*

Mailing Address*

Street Address Address Line 2 City Province Postal Code

Alternative Contact Information

Alternative Contact's Name:*

First Last

Alternative Contact's Phone:*

What type of request do you wish to submit?*

Internet Reimbursement

Learning Resource Request

Internet Reimbursement

Names of all students this request applies to:*

Account Holder Name*

Amount Requested (Up to a Maximum of $600)*

Please enter a number from 1 to 600.

This field is hidden when viewing the form

Upload Proof of Payment

Max. file size: 5 MB.

Please upload ALL pages of your internet bill that will total to the amount requested*

Drop files here or

Max. file size: 20 MB.

Program / Teacher Information

Program Name:*

Compass / OL Teachers*

HLC Teachers*

NSA Teachers*

Seven Summit Teachers*

Learning Resource Requests

Type of Request:*

Recreation/Community Centre Info

Name of Recreation/Community Centre:*

Phone number of Recreation/Community Centre:*

Course / Program Information

Course Name:*

Course Number/Registration Code:*

Course/Program Start Date:*

Course/Program End Date:*

Location of Course/Program:*

Course/Program Times: (e.g., 5:30pm-7:30pm Wednesdays)*

Total Cost of Program/Course:*

Optional: Attach the vendor invoice here:

Drop files here or

Max. file size: 20 MB, Max. files: 5.

Other Program

Name of Program:*

Details of program: (When does it start and end? How often are classes? How long are classes?)*

Cost of Program:*

--- Vendor Invoice Upload ---

Please attach the vendor invoice here:*

Drop files here or

Max. file size: 20 MB, Max. files: 5.

--- Vendor Information ---

* Please fill out any fields that are not listed on the Vendor Invoice *

Vendor Name:

Vendor Address:

Street Address Address Line 2 City Province Postal Code

Vendor Phone:

Vendor Email:

Vendor Contact Name: (if different than Vendor Name)

First Last

Other Resources

Please provide detailed information/links to requested resources*

Learning Resource Requests

Do you have any additional Learning Resource Requests?*

Yes

Type of Request*

Recreation/Community Centre Info

Name of Recreation/Community Centre:*

Phone number of Recreation/Community Centre:*

Course / Program Information

Course Name:*

Course Number/Registration Code:*

Course/Program Start Date:*

Course/Program End Date:*

Location of Course/Program:*

Course/Program Times: (e.g., 5:30pm-7:30pm Wednesdays)*

Total Cost of Program/Course:*

Optional: Attach the vendor invoice here:

Drop files here or

Max. file size: 20 MB, Max. files: 5.

Other Program

Name of Program:*

Details of program: (When does it start and end? How often are classes? How long are classes?)*

Cost of Program:*

--- Vendor Invoice Upload ---

Please attach the vendor invoice here:*

Drop files here or

Max. file size: 20 MB, Max. files: 5.

--- Vendor Information ---

* Please fill out any fields that are not listed on the Vendor Invoice *

Vendor Name:

Vendor Address:

Street Address Address Line 2 City Province Postal Code

Vendor Phone:

Vendor Email:

Vendor Contact Name: (if different than Vendor Name)

First Last

Other Resources

Please provide detailed information/links to requested resources*

Learning Resource Requests

Do you have any additional Learning Resource Requests?*

Yes

Type of Request*

Recreation/Community Centre Info

Name of Recreation/Community Centre:*

Phone number of Recreation/Community Centre:*

Course / Program Information

Course Name:*

Course/Program Start Date:*

Course/Program End Date:*

Location of Course/Program:*

Course/Program Times: (e.g., 5:30pm-7:30pm Wednesdays)*

Total Cost of Program/Course:*

Optional: Attach the vendor invoice here:

Drop files here or

Max. file size: 20 MB, Max. files: 5.

Other Program

Name of Program:*

Details of program: (When does it start and end? How often are classes? How long are classes?)*

Cost of Program:*

--- Vendor Invoice Upload ---

Please attach the vendor invoice here:*

Drop files here or

Max. file size: 20 MB, Max. files: 5.

--- Vendor Information ---

* Please fill out any fields that are not listed on the Vendor Invoice *

Vendor Name:

Vendor Address:

Street Address Address Line 2 City Province Postal Code

Vendor Phone:

Vendor Email:

Vendor Contact Name: (if different than Vendor Name)

First Last

Other Resources

Please provide detailed information/links to requested resources*

Learning Questions

What is/are the learning plan(s) for this/these resources? Please provide detail for *each* request here.*

How will the student share learning with their teacher? e.g., reflection, video journal, show and share. Please provide as much detail as possible.*

SLRF Policy Confirmation

**PLEASE READ**

The current K-9 SLRF policy is located here
The current 10-12 SLRF policy is located here

Confirmation:*

I confirm that I have read, understand, and accept the terms of the updated SLRF policy linked above

You will receive an email receipt at the email address specified above. In the rare event that you do not receive an email within 15 minutes of submitting this form, an error has occurred and the form will need to be resubmitted.

Comments

This field is for validation purposes and should be left unchanged.

STUDENT LEARNING RESOURCE FUND (SLRF)

Student Information

Parent/Guardian Information

Alternative Contact Information

Internet Reimbursement

Program / Teacher Information

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Questions

SLRF Policy Confirmation

Navigate-NIDES – Mailing Address:

Navigate-NIDES – Phone / Fax:

SLRF Request Form

STUDENT LEARNING RESOURCE FUND (SLRF)

Student Information

Parent/Guardian Information

Alternative Contact Information

Internet Reimbursement

Program / Teacher Information

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Resource Requests

Recreation/Community Centre Info

Course / Program Information

Other Program

--- Vendor Invoice Upload ---

--- Vendor Information ---

Other Resources

Learning Questions

SLRF Policy Confirmation

Navigate-NIDES – Mailing Address:

Navigate-NIDES – Phone / Fax: