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
