ETFO Anti-Racist and Equity Activism Award Application

ETFO Anti-Racist and Equity Activism Award Application 2024-2025
PROCEDURES

The application must be received by ETFO no later than February 1, 2024.
1. Applications are processed by the ETFO Awards Committee. The committee’s recommendations are taken forward to the ETFO provincial Executive for consideration. You can expect to hear regarding the disposition of the award after June 30, 2024.
2. Application forms, in their entirety, will be shared with ETFO staff and members of the ETFO Awards Committee who are ETFO members.
3. Material submitted to the Awards Committee in support of an application become the property of the Awards Committee and will not be returned.
4. ETFO will not accept incomplete applications or applications outside this submission form. Please include as much detail as possible in your responses.
5. If your submission does not adhere to procedures and criteria as notes in this application, if attachments re password-protected or encumber committee consideration, the submissions will be automatically deleted and removed from committee consideration.
6. This form contains mandatory fields that must be addressed to enable the form to be submitted.
7. Preference will be given to those who have not yet received this award.
Please make sure to read the application carefully and in full and fill it out completely.

If you have any questions, please reach out to the ETFO Awards Committee at awards@etfo.org.
Please Select an Award
CRITERIA

Anti-Racist and Equity Activism Award

This award may be offered to an active ETFO member or group of members to recognize active involvement in anti-racist and equity activism in the classroom or community that has positively impacted students or their community. The recipient shall receive $500 and a Certificate of Recognition. Up to two (2) awards may be given each year.

Candidates for the Anti-Racist and Equity Activism Award must adhere to specific criteria.

Please answer the following mandatory questions:
CRITERIA

Anti-Racist and Equity Activism Award - Women's Program

This award may be offered to an active ETFO woman member to recognize active involvement in anti-racist and equity activism in the classroom or community that has positively impacted students or their community. The recipient shall receive $500 and a Certificate of Recognition. Up to two (2) awards may be given each year.

Candidates for the Anti-Racist and Equity Activism - Women's Program Award must adhere to specific criteria.

Please answer the following mandatory questions:
Applying for more than one award in any given year results in disqualification. Please confirm this is the only application you are submitting to ETFO this year.*

CONFIRM
Please confirm your acknowledgement that the award is offered for work completed or in the process of completion.*

CONFIRM
Please confirm you are an active ETFO member in good standing.*

CONFIRM
ETFO Membership #*
OCT/CECE Membership #
Applicant *

First NameLast Name
Email*
Home Address

Street Address

Street Address Line 2

CityProvince

Postal Code
ETFO Local*
Please choose your Local
Years Employed by a School Board
School / Worksite
Work Telephone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Have you previously applied for this ETFO award?

YesNo
Which year?
Please enter the year of the application
Have you ever received another ETFO award?

YesNo
Which ETFO Award and When
Is this a group application?*

YesNo
If you have answered yes, please be aware that an ETFO Group Award Supplemental Form will need to be completed by each member of the group.

This link will open the form - ETFO Group Award Supplemental Form.

A link to the form will also be included in your confirmation email. Please send this link to the members of your group.

The application will not be considered complete without a completed form from each member listed in the next section.
Group Members
Has anyone else in the group been given an award?

YesNo
Which ETFO Award and When
1) Describe, in detail, the anti-racist and equity activism activity(ies) or project and how it has benefitted the classroom or community.
2) Indicate the significance and describe the impact of the work.
3) If the activity(ies) or project has resulted in the creation of a product, please attach it to this application below, as a clear photograph or sample of the product. Please note - links/html, google docs and password-protected PDFs are not allowed.

Browse Files to Upload

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4) Please include the following: a) FEDERATION INVOLVEMENT (local, regional, provincial and/or national level-include years)
5) Please include the following: b) PROFESSIONAL/OTHER INVOLVEMENT related to the award (curriculum writing teams, workshop presentations, leadership activities)
CONFIDENTIAL PERSONAL INFORMATION

Self-identification allows ETFO to achieve a critical goal, supporting and encouraging the participation of all individuals in ETFO programs, services and events. By completing this section, ETFO will be able to undertake the necessary statistical analysis to achieve this goal. All information collected and the reporting of statistical data will ensure full confidentiality of all. Although the completion of this section is voluntary, ETFO encourages you to self-identify.
CONFIDENTIAL PERSONAL INFORMATION - Women's Program

Self-identification allows ETFO to achieve a critical goal, supporting and encouraging the participation of all individuals in ETFO programs, services and events. By completing this section, ETFO will be able to undertake the necessary statistical analysis to achieve this goal. All information collected and the reporting of statistical data will ensure full confidentiality of all. As this award is for women applicants, self-identification is mandatory. Please confirm your status.
Self-Identification

First NationsMétisInuitperson with a disabilitytwo-spirit, lesbian, gay, bisexual, transgender, queer, questioning, +racializedwoman
If you identify as racialized, please specify (e.g.Black, East Asian, Mixed Race)
What term describes your gender?
Please indicate your pronouns
STATEMENT BY NOMINEE(S)/REPRESENTATIVE OF NOMINATED GROUP - I have read the criteria and procedures of this award and if chosen as the successful candidate, agree to abide by them. To the best of my knowledge, all information on this application form is correct. By signing this document, I consent to my name being published in ETFO publications and being included in ETFO media releases. I further consent that my contact information may be provided to local media upon request and for no other purpose.
Applicant's Signature

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Date

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ETFO Anti-Racist and Equity Activism Award Application 2024-2025

PROCEDURES

CRITERIA

CRITERIA