Coup de pouce program RQD

Applicant's Declaration (Project Lead)

Please read the program description carefully before completing this form.

Any questions? Contact Daniel Bastien, Director of Professional Development, at 514-433-3024.

I confirm that I have read the terms and conditions of the Coup de Pouce program.

General information

Last name

First name

Phone number

Email

Address - Street

Address - City

Province

Address - Postal code

Employment status in the cultural sector

Trainer's information

Training Location / Trainer’s name

Trainer's first name

Phone number

Courriel

Address - Street

Address - City

Province

Address - Postal code

Main professional activity

Is the trainer registered for taxes?

Yes

No

Trainer's hourly rate or cost of training in dollars

Training needs

Describe your training needs and the skills you wish to develop. Explain the need for personalized intervention (as opposed to group training, for example). In short, why do you need a Coup de pouce?

Objectives and expected results

Describe the objectives of your project, as well as the knowledge and skills you will have acquired or improved upon upon completion. What actions or tasks will you be able to accomplish? What will be the impact of the project on your practice and employability, or on your ability to obtain contracts and potentially increase your income? Indicate specific and expected results regarding your employment situation.

Training plan

The duration of a Coup de Pouce is typically set at 12 hours.

Project duration (in hours)

Beginning date

End date

Activity schedule

Consult your trainer to complete this section.

List the training activities planned to achieve your objectives. Specify the planned date and estimated duration (in hours) for each activity. Example:

October 30, 2024: Basics of Budget Planning (2h)
November 15, 2024: Understanding Financial Statements (3h)
etc.

Activity schedule

Applicant's financial contribution

Your training can only begin once the RQD has received your payment and a signed agreement from the project lead, the trainer, and the RQD.

What is the contribution corresponding to your type of training?

Customized individual training or training for a small group of participants (15% of project cost, before tax)

Asynchronous online training (25% of fees, before taxes). You must pay the full registration fee and the RQD will reimburse 75% of this fee (plus taxes, if applicable), upon receipt of supporting documents.

Other participants' information (if applicable)

Will there be more than one participant in your training?

Yes

No

A form will be sent to you shortly to identify additional participants.

Supporting documents

Please upload the following documents:

Participant's CV

Trainer's CV

Declaration / Consent

I declare that I have completed all the required fields in this form.

Once you click 'Submit,' you will receive an email from the RQD with the subject 'New Coup de Pouce Request.' This email confirms that your request has been received.

I consent to the Regroupement québécois de la danse (RQD) collecting, using, and disclosing my personal information for the purposes of my registration in the Coup de Pouce program, strictly as described below. The data we collect and process through this form is hosted on the Yapla Customer Relationship Management (CRM) platform and then transferred to a Google Drive document. Both platforms use a secure encryption protocol for data encryption. The RQD partially discloses your data to the funding agency that finances them. Their collection, use, and transmission are limited to the necessary processing for the confirmation of your registration in the Coup de Pouce program, the payment of your participation, and the reporting required by the funding agency of the activity. The RQD takes appropriate security measures to limit abuse and unauthorized access to your personal data. This ensures that only persons authorized by the RQD have access to your data, that access is protected, and that our security measures are regularly reviewed. Your personal information will only be retained for as long as necessary for the purposes mentioned above, unless a different legal requirement applies.