Professional Development Fund

Professional Development Fund - Final Report
NOTE: Reports are due 4 weeks after the last day of the event.

Incomplete Final Reports will not be accepted in any program. Final Reports not filed within three (3) months of the event may be subject to a $100 late fee; those not filed with five (5) months of the event may be subject to a $200 late fee. If On Screen Manitoba has not received a complete final report within six (6) months of the event, On Screen Manitoba cannot guarantee that the awarded amount will be available.

For any questions, please contact Peter Nielsen, Programs Coordinator, at peter@onscreenmanitoba.com or 204-927-5898.
Included in this final report:

Final BudgetReceipts for all expenses (except per diems)Credit card statements are included to show currency conversion rates on the date cost is incurred but are not acceptable proof of expense. Or include conversion rates on Final Budget (if applicable)
Applicant Information
Name*

First NameLast Name
Payee Name (if different from above)*
Name that appears on cheque
Company
Address*

Street Address

Unit/Apt #

CityState / Province

Postal Code
Email*
example@example.com
Email for secondary contact, if applicable
example@example.com
Phone Number*
Course Information
Name of course/training*
Name of organizing body administering the course/training
Course city*
Course country*
Course website
Date(s) attended:*

Activity Summary
Did this professional development opportunity...*

Exceed your expectations?Meet your expectations?Fail to meet your expectations?
Explain:*
Did you achieve your goals as identified in your application? (Please refer to Page 2 of your application and copy and paste your goals)
Did you experience any unexpected benefits?*
Would you recommend this course/training opportunity to others?*
Why or why not?*

Final Budget
- Please ensure you have receipts for all expenses. You do not have to include those pertaining to per diem amounts.
- Note that all amounts must be in Canadian dollars. Indicate the currency conversion. To find conversion rates for the date of the transaction, visit www.oanda.com/currency.
- Credit card statements can be included to show currency conversion rates on the date the cost is incurred; however they are not acceptable as proof of expense.
- GST is not an eligible expense.
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Upload receipts

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Signature*

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By signing above, I certify that all information is true and correct to the best of my knowledge.
Note that you cannot make changes to your form after it is submitted. Please ensure you have included all information. You will receive a copy of your completed application by email. For any questions regarding this application, please contact Peter Nielsen, Programs Coordinator, at peter@onscreenmanitoba.com or 204-927-5898.
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Professional Development Fund - Final Report