Joris De Roy Memorial Grant Application form 2022

APPLICATION FORM 2022

I hereby apply for the Joris De Roy Memorial Grant to win IATEFL Associate membership for one year, the early-bird registration fee to attend the IATEFL conference 2023 in the United Kingdom and free entry to BELTA Day 2023.
The IATEFL Conference 2023 will take place in Harrogate, England, from 18 to 21 April 2023.
IMPORTANT NOTE: The Easter holiday ends on 16 April 2023 so the IATEFL conference 2023 is NOT in the school holidays.

I confirm that

  1. I have read and understood the General Information page about the Joris De Roy Memorial Grant

  2. I reside in Belgium

  3. I have not won a BELTA grant before

  4. I am available to travel from 18-23 April 2023

  5. I will attend the IATEFL conference 2023

  6. I will print out a Certificate of Attendance, scan the certificate upon my return and send it to beltabelgium@gmail.com

  7. I agree to write a blog post for the BELTA blog about the conference

  8. I agree to pay my IATEFL Associate membership and the IATEFL 2023 early-bird conference fees myself before sending proofs of payment and my banking details to BELTA so they can reimburse me.

Please PRINT out, FILL IN and SIGN the Application Form 2022 in attachment and bring it to BELTA Day on 30 April 2022.
Drop your application form in the Grant box on the BELTA table in the Exhibition Hall.