Riverbend Community Association Program Proposal
Program Name
*
Preferred Season (Choose the most appropriate option):
*
Winter, Jan-Mar
Spring, Apr-Jun
Summer, Jul-Aug
Fall, Sep-Dec
Any Season
Age Group(s): (Please check all that apply)
*
Infant/Preschool (0-5 yrs)
Children (6-12yrs)
Youth (13-18yrs)
Adults (19+yrs)
Older Adults (55+yrs)
Which of the following best describes the program you are proposing?
*
Arts (Music, Art, Craft)
Culinary
Educational
Fitness, Health & Wellness
Social
Sports
Special Events
Workshops
Other
Suggested/Expected Group Size: (i.e., Minimum 5 people – Maximum 15 people)
*
Suggested day(s) of the week you are want to lead this program: (Please check all that apply):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Suggested Time: (Please check all that apply):
Morning (eg. 8am-12pm)
Afternoon (eg. 12-5pm)
Full Day (eg 9am-5pm or similar)
Evening (eg. 5-9:30pm)
Program Description:
(Should be 50-75 words which can be used in our advertising & newsletter)
Suggested Program Length:
eg 1/wk x 1 hr x 10 wks).
Employment Relationship:
Volunteer (I'll do it if RCA provides space and pays for supplies)
Employee (I'll do it for an hourly wage if RCA provides space)
Contractor (I'll do it for a fee (outlined below) if RCA provides space)
Renter (I want to rent space from you for this program)
Suggested Employee/Contractor arrangement
Hourly wage/rate
% of registration fee
Per participant rate
Other
Requested Hourly Wage/Rate $
% of registration fee
Amount per participant $
Would there be any equipment, materials or other costs?
Yes (please details below)
No
Other
Supply Costs:
Equipment Needs:
(tables, chairs, projector, screen etc)
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Your Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website (if relevant)
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Qualifications, Experience & References
(For Employee/Contractor Relationships)
Qualifications & Experience
Please attach resume/
Browse Files
Cancel
of
References:
(Work, Personal, Educational)
Ref. 1 Name
Ref. 1 Relationship
Ref. 1 Phone Number
Ref. 2 Name
Ref. 2 Relationship
Ref. 2 Phone Number
Submit
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