Form to be filled in by viewer and emailed back to sunsetcc@vancouver.ca

 

Thank you for submitting a program proposal form for classes and workshops. Please be as concise and legible as possible. You will be contacted after we have reviewed this information if we are interested in offering this activity.

 

Program Information                                                   

 

Program Name:_____________________________ Submission Date:_______________________

 

Preferred Season (Choose the most appropriate option):

q  Winter, Jan-Mar (due beginning of September)

q  Spring, Apr – Jun (due beginning of January)

q  Summer, Jul – Aug (due end of March)

q  Fall, Sep – Dec (due beginning of June)

q  Any Season

 

 

Age Group(s): (Please check all that apply)

 

q  Infant/Preschool (0-5 yrs)         q Children (6-12yrs)      q Youth (13-18yrs)

q  Adults (19+yrs)                         q Older Adults (55+yrs)     Other ______________

 

 

Gender:

 

q  Male

q  Female

q  Co-ed

 

 

 

Which of the following best describes the program you are proposing?


q  Art

q  Culinary

q  Educational

q  Fitness

q  Health and Wellness

q  Music

q  Sports

q  Special Event

q  Workshop

q  Other ___________________

 

 

 

Suggested Group Size: ___________________(i.e., Minimum 5 people – Maximum 15 people)

 

 

Suggested day(s) of the week you are available to instruct: (Please check all that apply):

 

q  Monday

q  Tuesday

q  Wednesday

q  Thursday

q  Friday

q  Saturday

q  Sunday

 

 

 

Suggested Time: (Please check all that apply):

 

q  Morning (9am-12pm)

q  Afternoon (12-5pm)

q  Evening(5-9:30pm)

 

 

 

Program Description: (Should be 50-75 words which can be used in our seasonal brochure)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Suggested Program Length: ________________________(i.e. 1/wk x 1 hr x 10 wks)          

 

 

Suggested Rate of Pay: $______/hr or %_______ of fee or $______ fee per student.

 

 

Employment Relationship:

q Contractor                                               q Employee

(Min. Req.: Current COV Business License)   (Min. Req.: Eligible to work in Canada)

 

 

Supply Costs: $______ per student  ______ None

(Detailed invoice for supplies will be required at time of billing)

 

Equipment Required: (mats, tables, chairs, etc.)__________________________________

 

 

Facility/Room Needs: (size, flooring, mirrors, etc.)________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

 

 

Full Name:                                                                    Phone: Home: (   )

 

Phone

Work 🙁   )                                Fax: (   )                                  Cell: (   )

 

Home Address:                                                             Postal Code:

 

E-mail:                                                  Website:

 

 

Qualifications/Experience: PLEASE ATTACH RESUME.

 

 

References: (Work, Personal, Educational)

 

Name:___________________________ Relation:____________________ Phone:______________

 

Name:___________________________ Relation:____________________ Phone:______________

 

 

Thank you for your submission!

 

 

Please fax or email this completed form with required attachments to: 604.718.6515 or sunsetcc@vancouver.ca with SUBJECT: PROGRAM PROPOSAL

 

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