Required fields are denoted with *
Contact Information:
Qualifications & History:
Please type N/A if information has previously been submitted.
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Please provide up to two relevant references if possible.
Program Information:
Submit a separate form for each unique class or program ie. if you teach Bridge and Poker, or if you teach the same program on different days and times each week.
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Please let us know the preferred dates and times you can instruct. This will help the Committee find appropriate facilities available that works for your schedule! Sometimes we will ask for alternative dates/times if there is not space available.Instructional text goes here
Set-up Information
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Please indicate how many registrants you are comfortable with while you are instructing.
Important Note
According to CRD policy, all volunteers are required to provide proof of a recent (within 1 year) Criminal Record Check prior to the start of the program. Criminal Record Checks can be obtained from your local Police Department at no cost to you. Volunteer Application Letters are available through Panorama Recreation Reception. Please wait until your application has been approved by the Elder College Advisory Committee before completing a Criminal Record Check.