Thank you for your interest in Peninsula Elder College! This form will help you present your idea to the Elder College Advisory Committee. Please fill this form in as completely as possible. You can submit this form via e-mail, fax or by dropping it off to the Panorama Recreation Centre reception. This form will be submitted to the Advisory Committee. You will receive a response within 3 weeks.

We plan our programs well in advance. Please see below for the application submission deadlines.

  • May 1 for programs occurring September through December.
  • September 1 for programs occurring January through June.
  • February 1 for programs occurring July through August.

Please submit 1 application per program session as indicated above. Please keep the confirmation email response for your records.

Required fields are denoted with  *

Contact Information:

Qualifications & History:

Please type N/A if information has previously been submitted.
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.
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

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.
I understand that this is required:*



If you have any questions please Email.

You can also contact:

Community Recreation Coordinator
Tel: 250.655.2178
Fax: 250.656.3360