After School Enrichment Application
You must fill out a form for each separate offering.
I am applying as a:
*
Vendor (Collecting Fees From Students, classes STAY ON Parkview property)
Club Leader (Free, PTO Sponsored Club)
Parkview Staff Member (Parkview Sponsored Club)
Community Program (Classes LEAVE Parkview property)
Contact Information
Business or Company Name (the "Vendor")
*
Your Name
*
First Name
Last Name
Your Phone Number
*
-
Area Code
Phone Number
Your Email
*
example@example.com
Has your organization submitted an application for another offering at Parkview this school year?
Yes
No
Does your organization have a current business license?
Yes, I can provide a copy of our W-9.
No, we do not have a current business license.
Does your organization carry General Liability Insurance with at least $1,000,000 in coverage?
Yes, we carry sufficient insurance and will provide documentation that we have added the PTO as an additional insured.
No, we do not carry sufficient insurance.
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Club Leader (Free, PTO Sponsored Club)
Are you a a parent, legally appointed guardian, or person in parental relation to a student currently attending Parkview Elementary?
*
Yes
No
Have you ever lead a club at Parkview before?
*
Yes
No
Club leaders must be approved as Bellingham Public Schools enrichment volunteers. https://bellinghamschools.org/about/volunteer-program/
I am an approved enrichment volunteer
No, but I understand that I must submit my online application and receive approval before the start of the session.
I am not sure.
Is there an additional volunteer that will be present during the class?
First Name
Last Name
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Tell Us About Your Offering
Offering Name - this is the name that will be advertised to families
*
Offering Description for Participants:
*
Who is this for? (select all that apply)
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Session (you may select more than one)
*
Fall (October 14 to December 13)
Winter (Jan 27 to March 28)
Spring (Mid-April to June)
What is your availability, choose all that apply:
*
Mondays, 2:30-3:30
Tuesdays, 2:30-3:30
Wednesdays, 2:30-3:30
Thursdays, 12:20-1:30
Fridays, 2:30-3:30
Minimum Enrollment
*
If no minimum, enter "0".
Maximum Enrollment
*
We encourage first time leaders to keep enrollment at 10 or lower.
Space Requirements, if any.
Please let us know if your class has space requirements, or if there is a specific space you would like to use. We typically hold classes either outdoors, in the gym, in an unoccupied classroom, or a teacher classroom. Sound is available in the gym. We will do our best to accommodate you!
We normally charge $20 per student for club supplies. Would you like us to charge this fee?
*
Yes, please charge students a materials fee.
No, please waive the materials fee. I understand that this means that I will not have a budget for supplies.
Would you like a PTO volunteer to assist you?
Yes, I would like a PTO volunteer to chaperone.
Yes, I would like a PTO volunteer to take attendance, but they do not need to stay.
No
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Additional Details
Please give any additional information that you would like included in our list of community offerings.
Session cost
Meeting day(s) and time
Session dates
Enrollment deadline, if any
Sign-up link or web address to share with families
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Class Fees
Per Class Fee
PTO Member Chaperone
The PTO requires that all After School Enrichment opportunities have a PTO Member Chaperone attending each class session. The PTO will identify and assign a chaperone to your class.
PTO Member Chaperones are offered free or reduced tuition for one student. Are you able to cover or share this cost with the PTO?
Yes
No
What type of scholarship can you provide?
I can provide a 100% scholarship to the student of the PTO Member Chaperone
I can provide a 50% scholarship to the student of the PTO Member Chaperone
Additional Scholarships
Can your organization provide additional scholarships to students?
Yes
No
How many additional scholarships can you provide for this class?
What are your scholarship requirements?
Please Select
None
Recommendation from PTO or School
Free/Reduced Lunch
Where and how can students apply for a scholarship?
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Instructor Details
Please provide contact information for the lead instructor, any potential subs, and other adults that will be present in the classroom.
Are you the Lead Instructor for this class?
*
Yes
No
Lead Instructor Name
*
First Name
Last Name
Lead Instructor Legal Name, If different than above
First Name
Last Name
Lead Instructor Preferred Pronouns
Lead Instructor Phone Number
*
-
Area Code
Phone Number
Lead Instructor Email
*
example@example.com
Will any other adults be present at any time in the classroom, including potential subs?
*
Yes
No
Name, phone and email address of any other adults that will be present at any time in the classroom, including potential subs.
Have the lead instructor and all potential subs been cleared by Bellingham Public Schools? https://bellinghamschools.org/about/volunteer-program/
Yes
No, but I understand that all instructors need to be cleared by the start of the session.
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Is there anything else you would like us to know?
Submit
For PTO Use Only
Assigned Space at Parkview
None
Classroom
Library
Gym
Playground
Other
Assigned PTO Chaperone
First Name
Last Name
PTO Chaperone Email
example@example.com
PTO Chaperone Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Should be Empty: