Community Outreach Request

NOTE: You will not be able to save your application to work on at a later time. Please complete all the required information and submit your form at one time.

Location
Where are you located in Ontario?
GTA Date Request
Morning: 8:00 am to 12:00 pm, Afternoon: 12:00 pm to 4:00 pm 
Other Ontario Program Locations and Dates

We are visiting the following locations outside the GTA on the dates indicated:

Location
 
Dates
 
Central Ontario: Barrie, Burk's Falls, Gravenhurst, Huntsville, Kearney, Orillia, Parry Sound January 28-February 1, 2019
Eastern Ontario: Barry's Bay, Kingston, Pembroke, Perth, Quinte West, Sydenham, Trenton April 23-26, 2019
North Central Ontario: Cochrane, Geraldton, Hearst, Kapuskasing, Marathon, Smooth Rock Falls, Timmins May 21-24, 2019
Northwestern Ontario: Dryden, Fort Frances, Kenora, Pickle Lake, Red Lake, Sioux Lookout, Thunder Bay June 10-14, 2019
Dates: April 23-26, 2019
Dates: April 23-26, 2019
Dates: April 23-26, 2019
Dates: January 28-February 1, 2019
Dates: January 28-February 1, 2019
Dates: January 28-February 1, 2019
Dates: May 21-24, 2019
Dates: May 21-24, 2019
Dates: May 21-24, 2019
Dates: June 10-14, 2019
Dates: June 10-14, 2019
Dates: June 10-14, 2019

If your choices are not available, are you able to host a program on another date during this week? If so, please select 'Yes' and indicate the date and time.

About Your Group
eg. Intermediate/Advanced, Beginner/Intermediate, etc.
Contact Information
ie. A0A 0A0