Required fields are marked with asterisks (*)

New Program Proposal - Concept & Details

Name

Phone number

Program Category (ex: general interest, recreation, fitness)

Program Description - provide a few lines to describe the program you wish to create, duration and number of days:

Target age(s)

Describe any experience you have in this category, include any certifications

Describe any municipal work and/or teaching experience you have

Please note the Town Staff programs for each session at the following times:

Session:	Programming done in:
Winter	September
Spring/Summer	January
Fall	March

Facility Location Requirements: What sort of space do you feel the program might require?
Note: Specific facility locations can not be guaranteed.

Facility Location Requirements

What class size do you envision? Minimum number of participants:

What class size do you envision? Maximum number of participants:

What equipment/supplies you feel are required to run this program?

Would you be willing to obtain a Police Vulnerable Sector Check (PVSC)?

Yes

Do you have or are you willing to obtain Standard First Aid with CPR 'C'?

Yes

Please note that submitting an application does not automatically mean we can create and run your program. However, the Town staff are committed to reviewing your proposal to determine its feasibility. Further questions may be submitted to: recconnect@aurora.ca