Educational Assistant / Child and Youth Worker Subsidy Request

Educational Assistant / Child and Youth Worker Subsidy Request

Mindfulness Everyday is pleased to be able to offer financial assistance to Educational Assistants and Child and Youth Workers, wishing to attend a Mindfulness Workshop or Program.

Please complete the following information, register and pay for the Mindfulness workshop or program you wish to attend, and we will reimburse you for $70.

If you are not an Educational Assistant or Child and Youth Worker, and require financial assistance, please contact Angela Ventrice angela.ventrice@mindfulnesseveryday.org for other options.

Name Name * First Last
Email *
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Address of the school you work at. If you work at multiple locations, please enter one of them. Address of the school you work at. If you work at multiple locations, please enter one of them. *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School Board *

School Board TDSB YRDSB TDCSB YCDSB WRDSB PDSB Other Other
How did you hear about the SMART workshop *

How did you hear about the SMART workshop From a colleague From your school Mindfulness Everyday Website Mindfulness Everyday Newsletter Other Other
If any of your attendance is being funded by your school, please enter the amount here. * $ Dollars . Cents
Please describe any previous mindfulness / yoga training that you have attended.
Please describe any experience you have had in using mindfulness / yoga with students.
Please describe why you wish to take the SMART workshop, personally and professionally. *