BRANCH: - Nova Scotia Teachers...

BRANCH: ___________________________________

of the

Nova Scotia Teachers Union

3106 Joseph Howe Drive

Halifax, NS B3L 4L7

http://rto.nstu.ca

Revised: November, 2017

SECTION 1

Mission Statement

Vision Statement

Brief History

Aims of the Organization

The Retired Teachers' Legacy Foundation

Acronyms and Definitions

RTO Executive Members 2017-2018

Provincial Officers Position Descriptions

Standing Committees

Travel Expense Policy

RTO Cancellation/Change in Meeting Dates Policy

Standing Committee Members 2017-2018

RTO Affiliations

Geographical Regions

Names and Addresses of RTO Committee Members

RTO Meeting Schedule 2017-2018

RTO Branch Presidents 2017-2018

Appendix A: Treasurer Roles and Responsibilities

Appendix B: Treasurer Timelines

Appendix C: RTO Communications Committee Chair Responsibilities

Appendix D: RTO Membership Committee Annual Action Sheet Appendix F:

Canadian Association of Retired Teachers (ACER-CART) Appendix G:

Seniors Advisory Council of Nova Scotia (Group of IX)

SECTION 2

_______________________________________________________________________________

RTO Constitution — Revised June 2016 RTO

Operational Procedures — Revised July 2016

RTO Retired Teachers Legacy Foundation

NSTU Pre-Retirement Schedule 2017-2018

RTO Pre-Retirement Seminar Power Point Presentation

Some Pre-Retirement Considerations

Accomplishments since 2005

SECTION 3 ____________________________________________________________________________

Guidelines / Suggestions: Branch Officers and Operations

Sample Branch By-Laws / Operation Procedures

Guidelines: Regional Returning Officer

Rules of Order: Re Motions

Branch Grant Guidelines

SECTION 4

____________________________________________________________________________

Group Insurance: Questions and Answers

Premiums Renewal — Effective May I, 2017

NSTU Medoc Group Travel Plan and Medoc Trip Cancellation

Interruption Renewal Effective September 1, 2017

Travelling Soon? Don't Leave the Country / Province Without Travel Insurance

How to Submit a Medoc Travel Claim

Out of Province / Canada Travel Presentation March 1, 2016

Total Care- Dental — Enhanced Major Restorative Services

Critical Illness Insurance for NSTU Members

Voluntary Critical Illness Coverage

CAREpath — The Cancer Assistance Program

CAREpath pamphlet

The Seniors' Care Assistance Program

The Seniors' Care Assistance Program pamphlet

Paramedical Practitioner Coverage NSTU Total Care Medical Plan What Happens

To My Benefits When I Retire?

Mental Health Practitioner Coverage Available to Active and Retired Teachers

Nova Scotia Pharmacare Programs April 2016

Frequently Asked Questions and Answers: Pensions

RTO BRANCH PRESIDENTS 2017-2018 Rev b. 10.28.2017

ANNAPOLIS Wendy Rodda 902-825-6295 81 Victoria Street PO Box 863 Middleton NS B0S 1P0 [email protected] COLCHESTER-EAST HANTS Peter Mattatall 902-257-2328 RR#2, 14888 Sunrise Trail Malagash NS B0K 1E0 [email protected] DARTMOUTH Judy Knowlton 902-434-5966 18 Gertrude Drive Dartmouth NS B2X 3S4

[email protected] HALIFAX CITY Bob Hayter 902-455-6476 3259 Robie Street Halifax NS B3K 4R4 [email protected] KINGS Peter Sheppard 902-681-5262 497 Burgess Mountain Road Woodville NS B0P 1G0 [email protected] NORTHSIDE-VICTORIA Cathy Anderson 902-544-0704 40 Birchwood Drive Sydney Mines NS B1V 3G6 [email protected] RICHMOND Marlene Boyd 902-625-3096 35 Philpott Street Port Hawkesbury NS B9A 2G8 [email protected] WEST HANTS Phil Van Zoost 902-798-3881 673 Sangster Bridge Road Falmouth NS B0P 1L0 [email protected]

ANTIGONISH/GUYSBOROUGH Penny Hemens 902-867-2618 PO Box 55 St Andrews NS B0H 1X0 [email protected] CPX Mary Hammond 902-852-3146 339 Prospect Bay Road Prospect Bay NS B3T 1Z7 [email protected] DIGBY Debby Trask Cushing 902-837-5936 RR#1, Hwy 101 Plympton Digby Co. NS B0W 2R0 [email protected] HALIFAX COUNTY Beth Raymond [email protected] LUNENBURG Deb Featherby 902-521-7791 4923 Highway 10 New Germany NS B0R 1E0 [email protected] PICTOU Fred Jeffery 902-923-2965 PO Box 25 Hopewell NS B0K 1C0

[email protected] SHELBURNE John MacKay 902-875-7808 RR#1 Middle Ohio Shelburne NS B0T 1W0 [email protected] YARMOUTH/ARGYLE Brian Noble 902-761-2569 5235 Highway 340 Forest Glen NS B5A 5P9 [email protected]

AER – BAIE SAINTE-MARIE André Turbide 902-769-3006 RR#1, 3734 Second Division Road Church Point NS B0W 1M0 [email protected] CUMBERLAND Lawry MacLeod 902-447-2652 344 Hansford Road RR#2 Oxford NS B0M 1P0 [email protected] GLACE BAY DISTRICT Reg Johnston 902-849-8037 33 Bathgate Street Glace Bay NS B1A 1A3 [email protected] INVERNESS Roy Sturmy 902-631-0151 12 Birchwood Court Port Hawkesbury, NS B9A 3H9 [email protected] NEW WATERFORD Ambrose White 902-862-8673 3153 Sunset Avenue New Waterford NS B1H 1L1

[email protected] QUEENS Peter Fountain 902-354-5988 PO Box 344 Milton NS B0T 1P0 [email protected] SYDNEY & AREA Bernadette Hollohan 902-562-2724 64 Cottagedale Crescent Sydney NS B1P 6T8 [email protected]

mailto:[email protected]






















Revised June 2016

CONSTITUTION

Retired Teachers Organization of the Nova Scotia Teachers Union

MISSION STATEMENT:

The RTO is the official body representing the retired teachers of Nova Scotia and will advance, promote and protect the welfare of its members.

RTO Constitution Pg. 2

Revised June 2016

RETIRED TEACHERS ORGANIZATION of the

NOVA SCOTIA TEACHERS UNION CONSTITUTION

ARTICLE I – NAME The name of the organization shall be the Retired Teachers Organization of the Nova Scotia Teachers Union (hereinafter referred to as “Organization” or “RTO”).

ARTICLE II – OBJECTIVES The objectives of the Organization shall be to:

i. Maintain a liaison with the Nova Scotia Teachers Union (hereinafter referred to as “NSTU”);

ii. Be a strong voice for education in Nova Scotia, speaking in support of the principles and actions of the NSTU;

iii. Maintain and increase professional and social contacts; iv. Keep informed on educational issues/topics and areas of concern to retirees; v. Furnish recommendations and advice to the NSTU on matters affecting the welfare of

retired teachers; vi. Be knowledgeable of the rights and benefits of retired teachers; and vii. Have authority to appoint representatives to provincial and national

organizations/agencies that have a mandate to promote the interests of retirees and keep the NSTU apprised of any and all representation made to these bodies.

ARTICLE III - MEMBERSHIP A. Active Member: To qualify as an active member of the Organization, a person must pay the annual fee and meet one of the following criteria:

i. Be in receipt of a pension pursuant to the Nova Scotia Teachers’ Pension Act; or ii. Been in the Faculty and Professional Support bargaining units of the Nova Scotia

Community College and be in receipt of a pension pursuant to the Public Service Superannuation Plan; or

iii. Been employed as a teacher pursuant to the Nova Scotia Teachers’ Pension Act and in receipt of a pension pursuant to the Public Service Superannuation Plan.

B. Affiliate Member: A retired teacher shall be eligible for Affiliate Membership in the Organization if that person is in receipt of a pension from outside Nova Scotia.


Revised June 2016

C. Associate Member: i. A retired teacher shall be eligible to Associate Membership in the Organization, subject

to the approval of the RTO Executive; or ii. Any surviving spouse/partner of a retired teacher shall be eligible for membership in the

Organization.

D. Life Member: A person who has held the office of the President of the RTO shall be granted Life Membership in the Organization.

E. Honorary Member: An Honorary Member is a person upon whom the honour has been conferred by the resolution of the Annual General Meeting for outstanding service to the RTO.

F. Rights, Privileges and Responsibilities: The rights, privileges and responsibilities of membership shall be extended as follows:

i. To Active and Life members the full rights, privileges and responsibilities of membership; ii. To Affiliate members the full rights, privileges and responsibilities of membership, except

to hold provincial office in the Organization; iii. To Associate members the full rights, privileges and responsibilities of membership

except in matters of voting and holding office; and iv. To Honorary members the right to attend the Annual General Meeting as an observer

and the right to receive RTO publications.

G. Membership Fees: i. Membership fees shall be established by resolution at the Annual General Meeting of

the Organization and approved by the NSTU Provincial Executive. The fee set shall endeavour to allow the Organization to become self-sufficient;

ii. Life and Honorary members shall be exempt from membership fees; iii. Affiliate and Associate members shall submit membership dues annually by September

30; and iv. A revision of membership fees requires a thirty (30) day notice-of-motion to the

membership and a 2/3 vote during the Annual General Meeting of the Organization.

ARTICLE IV – FINANCIAL

A. Fiscal Year: The fiscal year shall extend through the calendar period defined by the Operational Procedures. B. Membership Year: The membership year shall extend through the calendar period defined by the Operational Procedures.


Revised June 2016

ARTICLE V – EXECUTIVE COMMITTEE A. Executive Committee:

i. The Executive Committee shall be comprised of the immediate Past President, a President, a Vice-President, a Treasurer, seven (7) Members-at-Large and the elected RTO Pension Representative on the Nova Scotia Teachers Union Pension Committee for the 2016 – 2017 year and the Secretary;

ii. The Table Officers of the RTO shall be the President, the immediate Past President, the Vice-President, the Treasurer and the Secretary;

iii. If a vacancy occurs in the Executive Committee through any cause, the Executive Committee shall name a member to fill the vacancy until the next Annual General Meeting;

iv. Service by an RTO Executive member as a result of a by-election shall not be applied to the term of office when the same member is elected through a regular election;

v. Should a Past President be unable to serve, the Executive shall assign his/her duties to one or more members of the current executive; and

vi. The Executive Committee shall be the decision making body of the RTO between Annual General Meetings.

B. Election of Executive Committee Members:

i. The election for President and Vice-President shall be held at the Annual General Meeting in 2014 and every two (2) years thereafter;

ii. The election for Secretary for a one year term shall be held at the Annual General Meeting in 2016 by calling nominations from the floor;

iii. The election for Treasurer and Secretary shall be held at the Annual General Meeting in 2017 and every two (2) years thereafter; and

iv. All elections will be for a two (2) year term with the exception of Secretary in 2016. No one shall hold the same position for more than two (2) consecutive two (2) year terms, except under exceptional circumstances.

C. Election of Members-At-Large:

i. Presidents (or designates) of each Branch will form a Regional Nominating Committee in each of the seven (7) regions;

ii. The seven (7) regions comprising the following Branches are as follows: Cape Breton-Victoria Glace Bay District

New Waterford Northside Victoria Sydney and Area District

Strait Antigonish/Guysborough Inverness Richmond

Chignecto-Central Colchester-East Hants Cumberland Pictou

Halifax Metro Dartmouth Halifax CPX Halifax City Halifax County


Revised June 2016

Valley Annapolis Kings West Hants

South Shore Lunenburg County Queens Shelburne County

South West Shore AER- Baie Ste. Marie (Clare) Digby Yarmouth-Argyle

iii. One member of the Regional Nominating Committee will be designated by the group as

Chairperson and Returning Officer at the winter meeting of the Branch Presidents; iv. Those Branches that opt to nominate a Member-at-Large will conduct an election that

will be overseen by the Branch President and one name only will be submitted by that Branch to the Regional Nominating Committee no later than April 30;

v. If more than one Branch in a region nominates a candidate for the position of Member-at-Large, an election will take place no later than May 15;

vi. Voting will be conducted by the Returning Officer; vii. A Selection Committee consisting of three (3) members selected by and representing

each Branch in the region will cast a vote; viii. In the event of a tie for the lead, the number so tied would be involved in a run-off

election; ix. If a subsequent tie ensues, the Returning Officer would draw the name of the successful

candidate from those tied for the lead; x. The Member-at-Large must be elected by the region prior to the Annual General Meeting

of the Retired Teachers’ Organization; and xi. The names of the elected Members-at-Large will be presented to the Annual General

Meeting of the RTO by the Chairman of the Nominating Committee of the Provincial RTO for information only.

ARTICLE VI – GENERAL PROVISIONS

A. Nova Scotia Teachers’ Pension Committee RTO Representative: The Executive Committee shall appoint the required number of representatives to the Nova Scotia Teachers’ Pension Committee following the Annual General Meeting, for the term specified by this Committee’s Term of Reference. B. Annual General Meeting: All RTO elections shall be decided by majority vote. C. Affiliations: Any representation by the Organization to external organizations, Government Departments, or agents thereof, shall be consistent with NSTU policy. D. Annual Reports: The Organization shall submit an audited Financial Statement annually to the Provincial Executive of the NSTU.


Revised June 2016

E. Representation At NSTU Council: Upon invitation, the Organization shall appoint a member or members to attend the Annual Council as Associate Delegate(s) with the rights of same. F. Retired Teachers Legacy Foundation: The Retired Teachers’ Legacy Foundation, as established by the RTO Executive in 1994, shall support sick and/or challenged children of the Province of Nova Scotia. G. Constitutional Amendments: A revision to the Constitution shall require a thirty (30) day Notice of Motion to the membership and a 2/3 vote during the Annual General Meeting of the Organization or at a Special General Meeting called for that purpose. H. Quorum:

i. To constitute a meeting of the Executive the quorum shall be 50% of the Executive as outlined in Article 5A; or

ii. A quorum for an Annual General Meeting or Special General Meeting shall be twenty-five (25) active members in addition to the Executive members in attendance.

I. RTO/NSTU Liaison Committee: That regularly scheduled meetings be held at least three (3) times per year between the Retired Teachers Organization (President, Vice-President or designate and Past President or designate) and the NSTU (President, Executive Director or designate and the Assistant Executive Director or designate). J. Conflict Of Interest:

i. Definition: A conflict of interest exists when a situation arises in which the member has a private, personal or pecuniary interest that is not common to all members and which is sufficient to make it appear to have a possible influence on the objective exercise of that member’s duty;

ii. Members attending meetings of the Executive, Branch Presidents, Standing or Ad-hoc Committee Meetings must identify possible conflict areas once the agenda has been approved; and

iii. A conflict of interest heading shall appear on the agenda immediately following the item agenda (additional approval).

ACCOMPLISHMENTS

SINCE 2005


3106 Joseph Howe Drive, Halifax, Nova Scotia B3L 4L7 http://rto.nstu.ca

Membership / Authorization Form

Member Information [please print, to be shared with Branch Presidents]:

Name: Retirement Date:

Professional #: Employment # (NSCC Members):

Address:

Town/City: Postal Code:

Phone (h): ( ) Phone (c): ( )

Date of Birth: Email:

Please check this box if you prefer to receive The Retired Teacher newsletter by email instead of regular mail.

Payment:

I hereby authorize the monthly approved RTO membership fee deduction from the Nova Scotia Teachers

Pension (presently $3/month). I can stop this deduction at any time by returning my card to the RTO. *A temporary

card may be issued with the permanent card to follow.

Authorization Given:

________________________________________ ______________________

Signature Date

Branch to which I prefer to belong (Please circle only one):

Annapolis Halifax CPX Pictou

Antigonish - Guysborough Halifax City Queens

AER-Baie Sainte-Marie (Clare) Halifax County Richmond

Colchester-East Hants Inverness Shelburne County

Cumberland Kings Sydney & Area District

Dartmouth Lunenburg County West Hants

Digby New Waterford Yarmouth - Argyle

Glace Bay District Northside - Victoria Out-of-Province

Please return this form to: RTO/NSTU


Halifax NS B3L 4L7

Retired Teachers Organization

of the Nova Scotia Teachers Union


Associate Membership / Authorization Form An associate member is a surviving spouse / partner of a retired teacher.

Name: _____________________________________________________________________________

Address: ___________________________________________________________________________

Town/City: ____________________________________ Postal/Area Code: _________________

Phone: ( ) ___________________________________ E-mail: __________________________

Branch to which I prefer to belong: _____________________________________________________

Please print the following information.

(a) Name of deceased spouse/partner: ___________________________________________________

(b) Professional # of spouse/partner: ____________________________________________________

(c) Employment # of spouse/partner if retired NSCC member: ______________________________

The Retired Teachers Organization (RTO) is committed to respecting privacy and protecting personal information. All personal information collected is managed and maintained according to the principles outlined in the RTO Privacy Principles.

Payment:

I hereby authorize the monthly approved RTO membership fee deduction from the Nova Scotia Teachers

Pension (presently $3/month). I can stop this deduction at anytime by returning my card to the RTO.

*A temporary card may be issued with the permanent card to follow.


Signature Date

Associate members have the full rights, privileges and responsibilities of membership except in matters of voting and

holding office of the Organization and are entitled to all the rights and privileges accorded to active members such as:

• Deals and Discounts

• Travel Club & Home & Auto Insurance

• Health (Medavie / Blue Cross)\

Check our website at for additional information or call 1-800-565-6788 or 477-5621 in the Metro area

(Please see reverse)

Please check this box if you prefer to receive The Retired Teacher newsletter by e-mail instead of regular mail.

RTO Branches Annapolis Halifax CPX Pictou Antigonish/Guysborough Halifax City Queens AER-Baie Sainte-Marie (Clare) Halifax County Richmond Colchester-East Hants Inverness Shelburne Cumberland Kings Sydney & Area Dartmouth Lunenburg West Hants Digby New Waterford Yarmouth/Argyle Glace Bay & Area Northside –Victoria Out-of-Province Please return this form and the $36.00 fee to: RTO /NSTU 3106 Joseph Howe Dr

Halifax, NS B3L 4L7 Revised September 2014



Affiliate Membership / Authorization Form An affiliate member is a retired teacher in receipt of a pension from outside of Nova Scotia.

Name: Address: Town/City: Postal Code: Phone #: ( ) Email:_________________________ Branch to which I prefer to belong: Please print the following information. (a) Name of applicant from out of province: (b) Former province: Payment:

I hereby provide the $36.00 yearly fee for membership in the RTO. *A temporary card will be issued. Authorization Given:

________________________________________ ______________________ Signature Date Affiliate members have the full rights, privileges and responsibilities of membership except to hold provincial office of the Organization and are entitled to all the rights and privileges accorded to active members such as:

Travel Club Home & Auto Insurance Health – (Medavie – Blue Cross)

Please check our web site at http://rto.nstu.ca for additional information or call 1-800-565-6788 or 477-5621 in the Metro area. (Please see reverse)

http://rto.nstu.ca/

Please check this box if you prefer to receive The Retired Teacher newsletter by e-mail instead of regular mail.

RTO Branches Annapolis Halifax CPX Pictou Antigonish/Guysborough Halifax City Queens AER-Baie Sainte-Marie (Clare) Halifax County Richmond Colchester-East Hants Inverness Shelburne Cumberland Kings Sydney & Area Dartmouth Lunenburg West Hants Digby New Waterford Yarmouth/Argyle Glace Bay & Area Northside –Victoria Out-of-Province Please return this form and the $36.00 fee to: RTO /NSTU 3106 Joseph Howe Dr

Halifax, NS B3L 4L7 Revised September 2014

RTO Membership Information Update Please use this form if there is a change in any of the information the RTO has on file for you

Member Information (Please Print)

Name _____________________________________________________________________________

Professional # (NSTU) ____________________ Employment # (NSCC) _______________________

CHANGE FROM CHANGE TO

NAME: __________________________________ _______________________________________

ADDRESS: _______________________________ _______________________________________

TOWN/CITY: _____________________________ _______________________________________

POSTAL CODE: ___________________________ _______________________________________

PHONE(h) _______________________________ _______________________________________

PHONE(c) _______________________________ _______________________________________

E-MAIL ADDRESS _________________________ _______________________________________

BRANCH: ________________________________ _______________________________________

_____ Please check this space if you are presently receiving the Newsletter via mail and want, from

now on, to receive it via email. Please make sure your email address is noted above.

NOTE: The Retired Teachers Organization (RTO) is committed to respecting privacy and protecting personal information. All personal

information collected is managed and maintained according to principles outlined in the RTO Privacy Principles.


Signature ____________________________ Date _________________



Halifax NS B3L 4L7

(Instead, you may wish to telephone these changes in by calling: 902-477-5621/1-800-565-6788.)

Apart from a change in your Branch, it is strongly suggested that you also pass along your other changes to: Johnson Inc : 902-453-9543/1-800-453-9543

AND: Nova Scotia Pension Services Corp 902-424-5070/1-800-774-5070

Rev. April 13, 2017


ANNUAL GENERAL MEETING

AGM RESOLUTIONS SUBMISSION FORM

Resolutions for the Annual General Meeting of the Retired Teachers Organization may be submitted by Branches,

the Executive, or Individual RTO members prior to December 15 11' in any given year. Please check and complete

the appropriate box and provide information where necessary.

Branch (name) _____________________________________________________________________________

Executive

Individual Member (name)

Date of Submission:

RESOLUTION

Note: ALL RESOLUTIONS MUST BE ACCOMPANIED BY A BRIEF OUTLINING THE

RATIONALE OF THE RESOLUTION

Forward to:

RTO Resolutions Committee Chair

John Donovan

171 James Street

New Waterford, NS

B1H 2X7

Rev. 2017


Retired Teachers

FOUNDATION GRANT APPLICATION

Name of Applicant: _______________________________________________________________________________

Address: ________________________________________________________________________________________

_______________________________________________________________________________________________

Telephone: ________________________________________ E-Mail: _______________________________________

Program Coordinator: ___________________________ Federal Charitable Status Number: __________________

Brief Description of Program: ______________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Number of children involved in this program: _____________

Percentage of total number of children in the program who are sick and/or challenged: _____________________

How will this grant make a difference? ______________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Regular source(s) of funding for your organization: ___________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Note: 1. By signing this application, you will also be authorizing the Retired Teachers Foundation to

verify your business number and check any other relevant facts about your organization .

2. Please attach a one-page letter to elaborate on information requested in this form

Signature: Date: __________________________________ Please submit completed form no later than March 31 st 2018 to:

RTO Legacy Foundation Chair

Al MacKinnon P.O. Box 181, Whycocomagh NS B0E 3M0 rev 2017 see over (Objectives of Foundation)

The Retired Teachers Legacy Foundation, as established by the RTO Executive in 1994, shall support sick and or challenged children of the Province of Nova Scotia.

Objectives of the Legacy Foundation:

1. To operate a fund exclusively for the benefit of sick and/or challenged children in the province of Nova Scotia.

2. To solicit; accept; receive; acquire by grant, donation, legacy gift, bequest; or otherwise; any kind of real or personal property and to enter and carry out agreements, undertakings and conditions in connection therewith.

3. To disburse annually the interest on deposits.

Guidelines:

1. This annual disbursement is to honor the life and work of former teachers in Nova Scotia.

2. This annual disbursement is to benefit sick and/or challenged children younger than the age of 21 years.

3. This annual disbursement may benefit institutes which are defined as a society or organization founded for an educational, medical, social or similar purpose;\.

4. This annual disbursement may benefit charitable organizations that work for the benefit of sick and or challenged children.

RETIRED TEACHERS ORGANIZATION

Nomination for Provincial Executive Positions Elected at AGM

Deadline for Nominations – February 28th

Nomination for: PRESIDENT

VICE PRESIDENT

Name of Nominee: ______________________________________________________________

Branch to which Nominee belongs: _______________________________________________

Address of Nominee: ____________________________________________________________

Tel #: ________________________ Email: _________________________________________

RTO Branch Activities:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

RTO Provincial Activities:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Other (Including NSTU Local or Provincial activities):

______________________________________________________________________________

______________________________________________________________________________

Signature: Date

Return to:

RTO Nominations Chairperson

Jim Kavanaugh

3238 Nicholson Avenue

New Waterford, NS, B1H 1P1

rev. 2017


COMMITTEE APPLICATION FORM

Deadline for Application — May 30th

The RTO has four standing committees. They are:

Research/Review

Communications

Membership

Pensions & Benefits

If you are interested in serving on one of these committees, please

complete and submit this form.

(Please Print)

Name: _________________________ Branch: ______________________________________

Address: ______________________________________________________________________

_______________________ _______________________________________________

Telephone ______________________________ Email __________________________________

Postal Code ______________________________

Committee(s) of Choice: ___________________________________________________________

Have you served on a committee in the past? ___________

If Yes, which one(s): _______________________________________________________________

Return to:

Jim Kavanaugh RTO

3228 Nicholson Avenue

New Waterford, NS

B1H 1P1 Rev. 2017

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

2. ANTICIPATED STARTING DATE? ____________________________________________________

3. THE DURATION OF THE INITIATIVE /PROGRAM?

______________________________________________________________________________

______________________________________________________________________________

4. NUMBER OF PARTICIPANTS? ______________________________________________________

5. BREAKDOWN OF ANTICIPATED COSTS? IF THE APPLICATION HAS MORE THAN ONE ACTIVITY,

INDICATE THE ANTICIPATED COST OF EACH ACTIVITY AND THE TOTAL COST OF THE

APPLICATION.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

6. OTHER RELEVANT DETAILS:

______________________________________________________________________________

______________________________________________________________________________

7. HAS THIS BRANCH RECEIVED FUNDING FROM THE BIP FUND IN THE PAST? IF SO, WHEN AND

FOR WHAT ACTIVITY/ACTIVITIES DID THE BRANCH RECEIVE FUNDING?

______________________________________________________________________________

_____________________________________________________________________________

BRANCH PRESIDENT’S SIGNATURE: _____________________________________________

DATE: _____________________________________________________

Any Branch that receives funding is required to submit a final report as outlined in requirement 8.

Feel free to add any other information pertinent to your application and attach the same to this form.

Please submit your application to:

Peter Lewis, RTO Treasurer, 11162 Highway 6, Pugwash, N.S. B0K 1L0 OR by email to: [email protected] rev 11/2017


Colin

Rectangle

RTO BRANCH FINANCIAL STATEMENT

_________________________ Branch

NOTE: Please use this form. If your branch wishes to submit further information, please attach the same to this form.

Statement of Revenue and Expenditures for the last fiscal year from ________________ to _________________

Bank/Credit Union Balance at beginning of year: $_________________

Revenues:

Dinners, Lunches $ _______________

RTO Grant _______________

Donations _______________

Membership Dues _______________

Branch Initiative Program Grant (if applicable) * _______________

Other (Specify) _____________________________ _______________

Other (Specify) _____________________________ _______________

Add Total Revenue Sub-Total $_________________

Expenditures:

Dinners, Lunches $ _______________

Printing, Postage, Stationery _______________

Bank/Credit Union Charges/Fees _______________

Executive, President _______________

Donations, Awards, Gifts _______________

Hall Rentals _______________

Branch Initiative Program Grant (if applicable) * _______________

Other (Specify) _____________________________ _______________

Other (Specify) _____________________________ _______________

Deduct Total Expenditures $_________________

Balance - Funds Available at End of Year: $=======================s

* Any branch that received a Branch Initiative Program Grant is required to complete and submit a final report using the form provided for that purpose.

Prepared by: Date ___________________________________

Treasurer_____________________________________________ Telephone_______________________________

Address ______________________________________________ Postal Code --------------------------------------------

City__________________________________________________ E-mail __________________________________

Verified by: ___________________________________________

Please send to: Peter Lewis, RTO Treasurer, 11162 Highway 6, Pugwash NS. B0K 1L0

OR EMAIL TO: [email protected]

NOTE: THE FINANCIAL STATEMENT MUST BE SUBMITTED BY JULY 15th. rev. 2.1.1 October 2017


RTO Membership Information Update Please use this form if there is a change in any of the information the RTO has on file for you

Member Information (Please Print)

Name _____________________________________________________________________________

Professional # (NSTU) ____________________ Employment # (NSCC) _______________________

CHANGE FROM CHANGE TO

NAME: __________________________________ _______________________________________

ADDRESS: _______________________________ _______________________________________

TOWN/CITY: _____________________________ _______________________________________

POSTAL CODE: ___________________________ _______________________________________

PHONE(h) _______________________________ _______________________________________

PHONE(c) _______________________________ _______________________________________

E-MAIL ADDRESS _________________________ _______________________________________

BRANCH: ________________________________ _______________________________________

_____ Please check this space if you are presently receiving the Newsletter via mail and want, from

now on, to receive it via email. Please make sure your email address is noted above.

NOTE: The Retired Teachers Organization (RTO) is committed to respecting privacy and protecting personal information. All personal

information collected is managed and maintained according to principles outlined in the RTO Privacy Principles.


Signature ____________________________ Date _________________



Halifax NS B3L 4L7

(Instead, you may wish to telephone these changes in by calling: 902-477-5621/1-800-565-6788.)

Apart from a change in your Branch, it is strongly suggested that you also pass along your other changes to: Johnson Inc : 902-453-9543/1-800-453-9543

AND: Nova Scotia Pension Services Corp 902-424-5070/1-800-774-5070

Rev. April 13, 2017

Member-at-Large Application

Deadline for Application: April 1st 2018

Name of Region: _________________________RTO Branch (Applicant):_______________

Applicant Name: _______________________________________________________________

Address: ______________________________________________________________________

Telephone: ____________________________Email: __________________________________

RTO Branch Activities: __________________________________________________________

______________________________________________________________________________

RTO Provincial Activities: _______________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Other Activities (Including NSTU Local or Provincial activities): ________________________

________________________________ __________________

Signature of Applicant Date

PLEASE SUBMIT THIS APPLICATION TO YOUR BRANCH PRESIDENT NO LATER THAN APRIL 1st.

MAL Form A. Rev. 2.2017

Member-at-Large Nomination: Form B

A Branch President must submit this form and the candidate’s

Member-At-Large Application to the RTO Regional Returning Officer,

no later than April 30th.

Name of Region: ________________Branch: ________________

Nominee Name: ______________________________________________

Address: ___________________________________________________

___________________________________________________________

Telephone: ____________________ Email: ________________________

_____________________________ _____________

Signature of Branch President Date

Mal Form B. Rev. October, 2016

Member-at-Large Nomination: Form C

Following the receipt of nominations from Branch Presidents, and

following an election if more than one nomination, the Regional

Returning Officer must forward this completed form, along with the

Member-at-Large Nomination form from the successful candidate, to

the RTO Nominations Chair by May15th.

Name of Region: ________________________________________

Nominee Name: ______________________________________________

Address: ___________________________________________________

___________________________________________________________

Telephone: ____________________ Email: _______________________

________________________ ________________________

Signature of Regional Returning Officer Signature of Applicant

MAL Form C. Rev. October, 2016

;


3106 Joseph Howe Drive, Halifax, Nova Scotia B3L 4L7 rto.nstu.ca

Request to Host RTO Golf Tournament

The Retired Teachers Organization (RTO) has held a September Golf Tournament on

an annual basis since 1998. If your Branch would like to organize a September Golf

Tournament for RTO member from across the province, please complete this

application form.

Please be advised that the RTO will provide your Branch with $500.00 in "seed

money" for hosting this Golf Tournament.

1. Branch hosting tournament: __________________________________________

2. Contact person in Branch: ___________________________________________

Phone number: ___________________________________________________

E-mail address: ___________________________________________________

3. Location of Tournament: ___________________________________________

4. Proposed date of September Tournament: ____________________________

5. Proposed fee per person if a meal is to be provided: ____________________

6. Proposed fee per person if there is not a meal provided: _________________

7. Does the proposed fee in 5 or 6 include a power cart? Yes ____ No _____

8. If not, how much extra? ____________________

Format/Divisions: ____________________________________ Continued …….

9. Accommodation for participants: _______________________________________

Cost: ___________________________________________________________

Phone number/email address: _______________________________________

10. How will the Branch promote this tournament across the province?

__________________________________________________________________

__________________________________________________________________

Teachers Plus Credit Union has been the major sponsor for the past number of years, and

Johnson Inc, as well as Maritime Travel have also been very supportive. Local sponsors

are, also, a great source for additional support/prizes. Sponsors must be thanked at the

end of the tournament, acknowledged in The Retired Teacher and in writing after the

tournament

The host Branch will be required to complete a financial statement and have the

form sent to the RTO Treasurer, Peter Lewis at: [email protected] no

later than October 31st in the same year as the Golf Tournament.

Also, we request that you submit a report and several pictures that will be considered

for inclusion in the RTO Newsletter. This report should be sent to the RTO

Newsletter Editor, Betty Anne McGinnis at: [email protected]

___________________________ ________________________

Branch President Date

The Retired Teachers Organization thanks you in advance for submitting this

application to host the RTO Golf Tournament.

Application forms must be completed no later than October 31st.

Please submit to:

Request to Host RTO Golf Tournament

c/o Bill Berryman, RTO President

5965 Highway 215, GD

Summerville, Nova Scotia

B0N 2K0

You may also email a scanned completed application `form Bill Berryman, RTO President:

[email protected]

rev 2 September 2017



1


3106 Joseph Howe Drive, Halifax, Nova Scotia, B3L 4L7 rto.nstu.ca

REQUEST TO HOST: RTO CURLING BONSPIEL

The Retired Teachers Organization (RTO) has held a Provincial Curling Bonspiel

on an annual basis since 2012. If your Branch would like to organize a

March/April Curling Bonspiel for RTO, please complete this application form.

The RTO will provide your Branch with $500.00 in "seed money" for hosting this bonspiel.

1. Branch hosting Bonspiel: _____________________________________________________________

2. Contact person in Branch: _____________________________________________________________

Phone number: __________________________ E-mail address: ____________________________

3. Location of Bonspiel: ________________ ________________________________________________

5. Proposed registration fee per person (4 members): ______________________

6. Additional cost per person if food is provided: ___________________________

7. Suggested accommodation for participants: _______________________________________________

______________________________________________________________________________________

Cost: ___________________________________________________________

Phone number/e-mail address: ______________________________________

8. How will the Branch promote this Bonspiel across the province?

________________________________________________________________________________________

________________________________________________________________________________________

2

____________________________________________________________________________________________

Manulife Financial has been the major bonspiel sponsor for the past number of years. Local sponsors are

also a great source for additional support/prizes. All sponsors must be thanked at the end of the event,

and acknowledged in The Retired Teacher and in writing after the event.

Note: The host Branch will be required to complete a financial statement and have the form sent to the

RTO Treasurer, c/o the NSTU address below, no later than May 31st. in the same year as the Bonspiel.

Also, we require that you submit a report and several photographs for inclusion in the RTO Newsletter.

Please send these to the RTO Newsletter Editor, Betty Anne McGinnis at: [email protected]

__________________________________________ ______________________________________

Branch President Date

The Retired Teachers Organization thanks you for submitting this application to host the RTO Bonspiel.

Application forms must be completed no later than November 30th.

Please submit to:

Request to Host RTO Curling Bonspiel

Nova Scotia Teachers Union


Halifax, NS B3L 4L7

You may also email a scanned, completed application form, to Bill Berryman, RTO President at:

[email protected]

Rev.1.0 2017


BRANCH INITIATIVE PROGRAM GRANT

APPLICATION

Requirements for an application to be considered for funding:

1. The submitting Branch shall use this application form. If this form is not used, the application

will not be considered for funding. If you need more room for your application, please submit

on additional paper and attach the same to this form.

2. The application must be submitted to the RTO Finance Committee through the RTO Treasurer.

See address at the end of this form. The Finance Committee will review the application and

forward its recommendation(s) to the Executive. The Executive will respond in a timely manner.

3. Beginning in 2018, the amount awarded to any single Branch from the BIP fund shall not exceed

$1000 in any one calendar year. Please note that funding will only be provided for activities

that occur in the current calendar year which is also the fiscal year of the RTO.

4. The BIP Fund is intended to encourage Branches to seek programs and/or initiatives that better

serve the RTO members at the Branch level.

5. At the present time, Advanced Care Planning and Adjustment to Retirement workshops can be

accessed by interested Branches and paid for by the provincial organization; the BIP Fund is

intended to provide funding for programs and/or initiatives other than these two.

6. The BIP Fund is not intended to provide funds for the operational expenses of Branches.

7. The payment for alcohol will not be considered for funding.

8. Any Branch that receives funding from the BIP Fund is required to submit a final written report

and financial statement using the form provided for this purpose. This form will be provided to

all Branches that receive funding from the Fund.

9. The application must be received by the Treasurer at least two months prior to the

commencement of activities.

BRANCH: _________________________________

NAME AND DESCRIPTION OF INITIATIVE /PROGRAM: ________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

AMOUNT REQUESTED: __________________________________________________________________

PLEASE COMPLETE THE FOLLOWING:

1. HOW WILL THIS INITIATIVE/ PROGRAM BENEFIT YOUR BRANCH MEMBERS?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

2. ANTICIPATED STARTING DATE? ____________________________________________________

3. THE DURATION OF THE INITIATIVE /PROGRAM?

______________________________________________________________________________

______________________________________________________________________________

4. NUMBER OF PARTICIPANTS? ______________________________________________________

5. BREAKDOWN OF ANTICIPATED COSTS? IF THE APPLICATION HAS MORE THAN ONE ACTIVITY,

INDICATE THE ANTICIPATED COST OF EACH ACTIVITY AND THE TOTAL COST OF THE

APPLICATION.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

6. OTHER RELEVANT DETAILS:

______________________________________________________________________________

______________________________________________________________________________

7. HAS THIS BRANCH RECEIVED FUNDING FROM THE BIP FUND IN THE PAST? IF SO, WHEN AND

FOR WHAT ACTIVITY/ACTIVITIES DID THE BRANCH RECEIVE FUNDING?

______________________________________________________________________________

_____________________________________________________________________________

BRANCH PRESIDENT’S SIGNATURE: _____________________________________________

DATE: _____________________________________________________

Any Branch that receives funding is required to submit a final report as outlined in requirement 8.

Feel free to add any other information pertinent to your application and attach the same to this form.

Please submit your application to:

Peter Lewis, RTO Treasurer, 11162 Highway 6, Pugwash, N.S. B0K 1L0 OR by email to: [email protected] rev 11/2017


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