2017/2018 Skills Strategy Equipment Enhancement Fund

2017/2018 Skills Strategy Equipment Enhancement Fund School Division Application and Recommendation Form

All applications must be recommended and submitted by School Divisions (maximum of 5). For office use only Please complete all fields and include three (3) quotes. Incomplete submissions will not be processed. Only typed submissions will be considered. Application Reference #:____

of 3 School Division Information

School Division School Division Contact Person Title Address City/Town Postal Code Telephone Fax Email

School Information

School Principal Address City/Town Postal Code Telephone Fax

School Information

Program Position Program Contact Email

Equipment Requested Cost (including tax, CAD currency, and installation costs)

Type of Submission (check all that apply) Old Equipment Use (check all that apply) Program Upgrade Existing Program

Expand Existing Program Equipment will remain in program

Other (specify, e.g., disposal)

of 3 MET Verification: Complete and include the following: Complete School Division Information School Division Information School Information School Information Project Profile Program Profile Type of Submission Type of Submission Old Equipment Use Old Equipment Use Type of Program Type of Program Equipment Requested and Quotes Equipment Requested and Quotes Additional Costs listed with Quotes Additional Costs Listed and Quotes Program Impacts Program Impacts Demonstrated Educational Need Demonstrated Educational Need Consultation

Consultation Partnerships

Partnerships Coherence

Coherence Additional Comments

Additional Comments Quotes Attached Recommended School Signature Recommended School Division Signature Quotes Attached