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 Location? - Select -GTA & SurroundingOther Please tell us where you are located in Ontario. GTA Date Request Time of Program - Select -MorningAfternoon Morning: 8:00 am to 12:00 pm, Afternoon: 12:00 pm to 4:00 pm Date - First Choice Date - Second Choice Date - Third Choice Other Ontario Program Locations and Dates We are visiting the following locations outside the GTA on the dates indicated: Location Dates Northwestern Ontario: Dryden, Fort Frances, Kenora, Red Lake, Sioux Lookout, Thunder Bay, Nipigon June 08-12, 2020 Choose a Location - None -Northwestern Eastern Ontario 1st Choice - None -March 9 AMMarch 9 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9-13, 2020 Eastern Ontario 2nd Choice - None -March 9 AMMarch 9 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9-13, 2020 Eastern Ontario 3rd Choice - None -March 9 AMMarch 9 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9-13, 2020 Central Ontario 1st Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19th to 22nd, 2020 Central Ontario 2nd Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19th to 22nd, 2020 Central Ontario 3rd Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19th to 22nd, 2020 North Central Ontario 1st Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 North Central Ontario 2nd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 North Central Ontario 3rd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 Northwestern Ontario 1st Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 8-12, 2020 Northwestern Ontario 2nd Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 8-12, 2020 Northwestern Ontario 3rd Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 8-12, 2020 Niagara Hamilton 1st Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24-26, 2019 Niagara Hamilton 2nd Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24-26, 2019 Niagara Hamilton 3rd Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24-26, 2019 North Central Ontario Fall 2019 1st Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 North Central Ontario Fall 2019 2nd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 North Central Ontario Fall 2019 3rd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15-18, 2019 Southwestern Ontario 1st Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12-15, 2019 Southwestern Ontario 2nd Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12-15, 2019 Southwestern Ontario 3rd Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12-15, 2019 Huron-Bruce 1st choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11-13, 2020 Huron-Bruce 2nd choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11-13, 2020 Huron-Bruce 3rd choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11-13, 2020 Northeastern 1st choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14-17, 2020 Northeastern 2nd choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14-17, 2020 Northeastern 3rd choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14-17, 2020 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. Indicate Yes/No - None -YesNo Please Specify Date/Time About Your Group Type of Group - Select -School ElementarySchool SecondaryESLCommunity GroupAdult Grade - Elementary - Select -45678Split Grade - Secondary - Select -9101112Split Describe Split ESL Group - Select -GradeAdult ESL Language Level - None -BeginnerIntermediateAdvancedMixed Specify Mixed ESL Levels eg. Intermediate/Advanced, Beginner/Intermediate, etc. Community Group Type? Adult Group Type - None -NewcomersSeniorsOther No of People in a Group Select Language - Select -EnglishFrench Special Needs - Select -YesNo Describe Special Needs Timetable One file only.256 MB limit.Allowed types: pdf doc docx jpeg. Contact Information Name Phone Number Type - Select -Office (Day)CellHome Phone Number Email Name of Organization Address Address City/Town ZIP/Postal Code Additional Comments Privacy The Office of the Assembly takes reasonable steps to protect your privacy. Send questions to privacy@ola.org.
