EmailMe Form - Permission to Distribute Educational Information

CONTACT INFORMATION

Name *

First Last

Organization *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Web Site

Application Date *

MM / DD / YYYY

Enter Today's Date

DETAILS OF YOUR REQUEST

Do your staff and volunteers have a current criminal records check? *

Yes

No

Is this a volunteer opportunity? *

Yes

No

If you answered Yes, applying organizations need to contact Volunteers Richmond at www.volunteerrichmond.ca

Is this a job opportunity? *

Yes

No

If you answered Yes, applying organizations need to contact AVIVA at www.aviaemployment.ca

Are you a member of the Richmond Sports Council? *

Yes

No

If you answered No, please also answer Option A below. If you answered Yes, please also answer Option B below.

(Option A) Is your organization associated or sponsored by the municipal or provincial government?

Yes

No

Complete this question if you are NOT a member of the Richmond Sports Council.

If you answered No, unfortunately applications from organizations not associated or sponsored by the governments will not be accepted by the Richmond School District. Thank you for your interest.

(Option B) Is your organization non-profit?

Yes

No

Complete this question if you are a member of the Richmond Sports Council.

If you are a non-profit, please provide your B.C. Society Act number or Community Gaming Grant information.

Is your material educational for students? *

Yes

No

If you answered Yes above, please explain how is your material educational.

Please attach your materials as a PDF to this application form.