Manitoba-Québecexchange Program

Manitoba-QuébecExchange Program

Participation Request Form 2018-2019

(Before completing this form, please read the information on the back.)

SCHOOL DIVISION:
ADDRESS:
SUPERINTENDENT:

Please list the schools in your division that would like to participate in
the 2018-2019Manitoba-Québec Exchange Program.

SCHOOL:
ADDRESS:
TELEPHONE:
PRINCIPAL:
LIAISON TEACHER:
SCHOOL:
ADDRESS:
TELEPHONE:
PRINCIPAL:
LIAISON TEACHER:
SCHOOL:
ADDRESS:
TELEPHONE:
PRINCIPAL:
LIAISON TEACHER:

Ourschool division supports the participation of the schools listed above in the Manitoba-QuébecExchange Program.

SUPERINTENDENT: ______
Signature Date

Return the form before the end of February to:

Danielle Parent

Provincial Coordinator

Manitoba-Québec Exchange Program

509-1181 Portage Avenue

WinnipegMB R3G 0T3

Information for school divisions and schools regarding
the Manitoba-Québec Exchange Program

1. Manitoba students cannot participate in this program without the consent and approval of the school authorities:

• the school division must fill out the Participation Request Form.
• the principal must sign the Application Form and the Interview Questionnaire.

2. A school which chooses to participate in this program agrees to:

• appoint a member of the teaching staffto be the liaison teacher;
• accept Québec exchange students within the school for the three-month exchange period and agree to waive any fees and other school costs for these students;
• collect personal information by means of the application process prescribed by the department;
• form a committee responsible for evaluating the applications, selecting candidates and forwarding the recommendations to the department;
• destroy the personal information concerning the applicants and the members of their family at the end of the school year;
• provide counselling or assistance should the Québec student require help adjusting to the new school.

3. A teacher appointed as a liaison teacher agrees to:

• advise students about the program;
• accept completed application forms from students;
• conduct interviews with students and in-home interviews with the parents of student applicants;
• rank the student applications and send them to the Department of Education and Trainingof Manitoba by March31, 2018;

NOTE:THE DEPARTMENT OF EDUCATION AND TRAININGTRUSTS THAT THE LIAISON TEACHER AND THE SCHOOL WILL CAREFULLY SELECT THE APPLICANTS.

• assist Québec student with course selection;
• ensure the assessment report is completed by the Manitoba teachers and ensure the Québec students receive a copy of their assessment report before they return home in December;
• assist the Manitoba student and his/her family in making course selections and planning schoolwork for the exchange year;
• conduct an evaluation (by phone) when the Manitoba student is in Québec.