Program Proposal Application Form

Section A - Instructor Information

Section B - Proposed Program Information

(E.g. one day workshop, weekly recurring class, etc.)

Total number of hours or hours per week

Room Requirements

Space Requirements
Equipment
Room Style (tables/chairs)

(in dollars per hour, please)

Resume and/or Qualifications

This field is required

Please upload your resume and/or any relevant certifications. Do NOT include personal or sensitive information, like your Care Card or Drivers Licence.

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Collection and use of your personal information
Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA.  Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at (250) 755-4405, or via email at foi@nanaimo.ca.
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Important Information

Deadlines
2020 Spring/Summer Activity Guide Deadline Deadline passed
2020/2021 Fall/Winter Activity Guide Deadline April 24, 2020 by 4:30pm
2021 Spring/Summer Activity Guide Deadline Nov 13, 2020 by 4:30 pm

We thank all applicants for their proposals. Unfortunately, due to the volume of proposals received, we regret we can only contact those who have been shortlisted. Proposals will be kept on file for one year from the date received and may be considered for future guides. 

Please note: Applicants of shortlisted proposals may be required to complete a Police Information Check.

Last updated: November 12, 2019

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Don't include private or financial information in this form.

Collection and use of your personal information
Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA.  Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at (250) 755-4405, or via email at foi@nanaimo.ca.
Privacy Policy