Approval Application Basic , Advanced Intensive Training Approval Application Contact Information :* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Organizer ( Materials will be shipped to this address )Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email PhoneIntensive Training Information*Open TrainingClosed TrainingLevel:* Basic Advanced Certification Practicum Supervisor - Preparation Phase Practicum Supervisor Level 1 Practicum Supervisor Endorsement Instructor1 Instructor Endorsement Training Agency or School Venue Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Basic Instructor Advanced Instructor Estimated # ParticipantsPlease enter a number from 1 to 100.Starting DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ending DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Extra DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Extra DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Length of Training and extra information ( if needed )Option for 4 days and 27 hours: Check one. 4 Consecutive Days Two Days over 2 Weekends Evening sessions over 2 months *4 one-day a week sessions 4 Consecutive Days Two Days over 2 weekends 4 one-days over 1 month *4 Professional Developement Days in the same school year * With organized learning experiences between sessions.Option for 3 consecutive days and 21 hours. MM slash DD slash YYYY Starting Date (Day 1 of 3) More information if needed.Practicum Supervisor (If training is closed and has 17-20 Participants) Agreement : I will follow what is outlined in the GLASSER CANADA & WGI Policies and Procedures Manual (PPM), and am aware of the current acceptable intensive training forms and their terms.* I Agree* i certify that the scheduling of the training will be in accordance with the PPM. Δ