Catholic Education Office Ballarat Application for Diocesan Sponsorship: Religious Education – Primary and Secondary in 2016 You must complete ALL sections of the application form. Please send this application form only. Complete Save Print online in order to operate expanding text boxes, then and it for signatures and mailing. Full Name VIT number School Name & Postal Postcode: Address: School Telephone: Applicant’s (school) Email: Are you employed OR in Catholic Education for the year in which you ‘Full-Time’ ‘Part-Time’ seek Sponsorship? Please select (A minimum of 0.5 FTE is required for Sponsorship Applications): Do you have CECV Accreditation to Teach - If YES, insert Accreditation number: RE in a Catholic School Number of years teaching in a Catholic school Details of Study To Be Undertaken Institute of Study and contact details Course Name (eg: Grad Cert Catholic Studies) Name & Code of each individual unit to 1. 2. be completed in 2016 NB: only 2 units given sponsorship in any one year Cost of each unit to be completed in 2016 1. $ per unit 2. $ per unit Mode of Delivery for each unit to be undertaken in 2016 (on-line, weekends, 1. face to face, distance, etc) 2. How will your study contribute to Catholic Education, in your in the Diocese of Ballarat? Applicants may wish to attach documentation to support their application but there is no compulsion to do so. I agree to use this money as required by the Sponsorship criteria & will return unused funds to the Diocesan Office. Applicant’s Signature: __________________________________________________________________________ Principal’s Signature: _____________________________________________________ Date: _______________
Catholic Education Office Ballarat Application for Diocesan Sponsorship: Religious Education – Primary and Secondary in 2016 You must complete ALL sections of the application form. Please send this application form only. Complete online in order to operate expanding text boxes, then Save and Print it for signatures and mailing. Full Name VIT number School Name & Postal Address: Postcode: School Telephone: Applicant’s (school) Email: Are you employed ‘Full-Time’ OR ‘Part-Time’ in Catholic Education for the year in which you seek Sponsorship? Please select (A minimum of 0.5 FTE is required for Sponsorship Applications): Do you have CECV Accreditation to Teach RE in a Catholic School - If YES, insert Accreditation number: Number of years teaching in a Catholic school Details of Study To Be Undertaken Institute of Study and contact details Course Name (eg: Grad Cert Catholic Studies) Name & Code of each individual unit to be completed in 2016 NB: only 2 units given sponsorship in any one year 1. 2. Cost of each unit to be completed in 2016 1. $ per unit 2. $ per unit Mode of Delivery for each unit to be undertaken in 2016 (on-line, weekends, face to face, distance, etc) 1. 2. How will your study contribute to Catholic Education, in your in the Diocese of Ballarat? Applicants may wish to attach documentation to support their application but there is no compulsion to do so. I agree to use this money as required by the Sponsorship criteria & will return unused funds to the Diocesan Office. Applicant’s Signature: __________________________________________________________________________ Principal’s Signature: _____________________________________________________ Date: _______________
DiocSponForm16.docx