Request for Training Supports

Name *

First

Last

Contact e-mail *

Date *

Declaration *

I acknowledge that I have requested training supports to support my Employment Action Plan, and that all information provided to my Employment Coach supporting my request is accurate and true. I hereby agree to use the funds for the purpose(s) as indicated and to provide the YMCA of Niagara with receipts for said purchase(s) within one week from the date of the request. Should receipts not be submitted, I agree to reimburse the YMCA of Niagara for the full amount given.