Program Proposal

Program Proposal
Thank you for expressing your interest in submitting a program proposal for the City of Blue Ash Recreation Department.

For us to provide the best service to our patrons, we require all potential instructors to complete a program proposal form. Please note that the completion of this form is purely for informational purposes and does not constitute a contract between the instructor and the City of Blue Ash.

Your information will be kept on file and reviewed periodically. If there is a need for your proposed program, we will contact you to arrange an interview with our staff.

To all for adequate planning, all program proposals must be received at least 30 days prior to the proposed program date.
Instructor Information
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*

Area CodePhone Number
Email:*
Will strictly be used as a means of communication
Program Proposal
Name of Class/Program:*
Objective:*
Age of Participants to be Served:*
Best TIMES to be held:*
Best DAYS to be held:*
Preferred Location (Please Select One):

Blue Ash Recreation CenterSummit ParkBlue Ash Towne SquareBlue Ash Nature Park / AmphitheaterBlue Ash Sports CenterBlue Ash Oakwood Park
Duration:*
Please put a time frame and not just the amount of hours
Minimum Participants:*
Maximum Participants:*
Program equipment, materials, resources, etc. (jump ropes, balls, sound, etc.) you possess:*
Building equipment, resources, etc. (table, chairs, sound, electric, etc.) you would need supplied to you:*
Size of area needed for class (example: square feet):*
Describe what a participant would experience in a typical class (100 words or less):*
What fees would you charge the participants (i.e. $2 per class, $50 per month,etc.):*
Qualifications you possess:*
Do you have proof that this program and participants is protected by liability insurance for at least $1M?*

YesNoNo, but can obtain
References

Please provide two to three references that have been involved with your classes.These individuals can be current or previous participants, coordinators, etc.
Reference 1: Name*

First NameLast Name
Reference 1: Relationship*
Reference 1: Phone Number*

Area CodePhone Number
Reference 1: Secondary Phone Number

Area CodePhone Number
Reference 2: Name*

First NameLast Name
Reference 2: Relationship*
Reference 2: Phone Number*

Area CodePhone Number
Reference 2: Secondary Phone Number

Area CodePhone Number
If available, please provide any current media that we can reference (i.e. flyers, brochure, website, etc.) that will help us to better understand your proposal.
Upload
Thank you, again, for your interest in working with us. If available, please submit all additional materials and a copy of your proposal to:

Margaret O'Gorman

Blue Ash Recreation Department

4433 Cooper Road

Blue Ash, OH 45242

E-mail: mogorman@@blueash.com

Fax: 513-745-8527
Should be Empty:

Program Proposal

Instructor Information

Program Proposal

References