District of Saanich: Program Proposal

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Program Proposal

Interested in teaching a program at one of our community facilities? Please complete the following form and a Programmer will be in contact with you about your proposal.

Please note: Programming for a new season begins approximately 5 months prior to the start date for programs that season.

Contact Information

Name:
Date of Application:
Home Phone:
Business Phone:
Cell Phone:
E-mail Address:
Website Address:
If you are a business please complete the following information:
Business Name:
Business License Number:
WCB Number:
GST Number:

Program Information

Course Title:
Course Description:
Course Format:	Workshop Series
Number of Classes:
Length of Class:
Number of Classes Per Week:
Preferred Days: (please list)
Preferred Time: (please list)
Target Age Group: (Please list specific age range beside)
Early Childhood: (1-5yrs)
School Age: (6-12yrs)
Teen: (13-16yrs)
Adult: (16+yrs)
Participant Numbers: (Min/Max #'s are based on one instructor)
Minimum Number of Participants:
Maximum Number of Participants:
Fees:
What fee do you currently charge a participant for this program or a similar program?
Does this include supply costs?	Yes No
If no, what is the additional fee:
Room Requirements:
Type of Room Required:	Classroom Auditorium/Gym Dance Studio Weight Room Other
If other please specify:
Equipment Requirements:
Number of Tables Required:
Number of Chairs Required:
Other Equipment: All program specific equipment is the responsibility of the contractor. No storage of equipment is provided. Please note that we do not have a multimedia projector and laptop.	TV/VCR Sound System White Board(Flipchart size) Sink Mats Overhead Projector/Screen
Setup Requirements:
Type of Setup Required:	Theatre-Style Classroom Empty Room Other
If other please specify:

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