Community Group Application Form
Student Placement Criteria:
 - Community groups must provide a supportive work environment with on-line supervision.
 - Students cannot be given responsibility to manage summer programs.
 - Students require 6 weeks of employment from July 8th until August 16th.
 - Students require 20 to 40 hours each week of meaningful employment.
 - Students are hired and paid by WECDSB.
 - Supervisors are required to submit weekly timesheets provided by WECDSB.


Sign in to Google to save your progress. Learn more
COMMUNITY GROUP INFORMATION
1.  Organization Name: *
2.  Organization Mailing Address: *
3.  Did your organization use WECDSB space as part of Focus on Youth in 2012? *
4.  Name of Applicant (First name  Last name): *
5.  Title of Applicant: *
6.  Phone Number (ie. 519-123-4567): *
7.  E-Mail Address: *
8.  Are you a not-for-profit organization? *
9.  Do you have liability insurance for your summer program, minimum of $2 million? *
SUMMER PROGRAM INFORMATION
10.  Do you charge a fee for your summer program? *
11.  If yes, how much?
12.  Type of program? *
Required
13.  Name of 2013 Summer Program: *
14.  Describe the Summer Program your organization intends to run: *
15.  Age of Summer Progam participants: *
Required
16.  Total number of children/youth expected on-site per day: *
17.  Total number of paid staff on-site: *
18.  Total number of volunteers on-site: *
19.  On-site Supervisor's name (First name  Last name): *
20.  On-site Supervisor's cellular phone number (ie. 519-123-4567): *
21.  On-site Supervisor's e-mail address: *
22.  Number of student placements requested: *
23.  Does the on-site supervisor(s) have First Aid training? *
Required
24.  Will the student placements require special training for your program, which is provided by your group? *
Required
25.  If yes to question #24, please state the training required.
26.  Program Days: *
Required
27.  Start Date (ie. MM-DD-YYYY): *
28.  End Date (ie. MM-DD-YYYY): *
29.  Time Entering the School (ie. 9:30 am) *
30.  Time Exiting the School (ie. 4:30 pm): *
31.  School space requested: *
Required
32.  Preference of school site- First Choice: *
33.  Preference of school site- Second Choice: *
34.  Preference of school site- Third Choice: *
Application must be submitted by:  12:00 p.m. Thursday March 28th, 2013.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms