CFNU International Solidarity Fund Worker to Worker Exchange Application Form

1. Applicant Information

Name: *

Home Address: *

Home Telephone: *

Email: *

Provincial Union: *

2. Project Description: *

In the space above, describe the purpose of the project, the coordinating organization, the duration of the trip, and overall cost to you the participant.

3. Describe what you hope to gain from this experiene: *

Travel dates: *

4. Accept conditions

By providing your name and date below, you agree with the conditions of support, if approved.

If your project is approved by the CFNU International Solidarity Fund Committee, we will ask that a short report (photos welcome) be filed within 60 days of your return with CFNU, describing your experience for CFNU use in promotion and reporting on the Fund, at which time approved funding will be disbursed. (Travel advances will be considered in exceptional circumstances).

Signature: *

Please provide your first and last name as a signature.

CFNU International Solidarity Fund Worker to Worker Exchange Application Forma2a_onclick=1;

CFNU International Solidarity Fund Worker to Worker Exchange Application Form