Form Center

2. Program Proposal Form
4. Thank you for your interest in offering a new recreational opportunity to our community!

   Please complete this Program Proposal Form and submit it to Recreation staff for evaluation and review. This form does not constitute a contract or qualify for application for employment. The City of Eagle does not discriminate against race, gender, gender identity, ability, age, birthplace, income, cultural background, religion, or ideology.

6. First Name*
7. Last Name*
9. Address
11. City
12. State
13. Zip Code
15. Email Address:*
16. Phone Number:*
18. Bio:*
    Please provide two or three sentences about yourself.
20. Certification(s):

    Please provide any certifications that you hold pertaining to this class submission.

22. Name of Program:*
24. Description of Program:*
26. Purpose of Program:*
28. Please list Instructor(s); Place the lead instructor first.

    List if different than above.

30. Frequency of Program/Event:*
31. Proposed Start Date:
32. Proposed End Date:
34. Start Time:
35. End Time:
36. Are your times and dates flexible?*
38. Available Days of the Week:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
39. Available Times of the Week:

    1. Morning (8-12 PM)
    2. Afternoon (1-4 PM)
    3. Evening (5-10 PM)
41. Location:
    Leave blank if you don't have a specific location in mind.
42. Proposed Fee:

    $________ per person 

44. Is the program intended for a specific demographic?

    For example age, race, ethnicity, gender, marital status, income, education, and employment

45. If yes, what is it?
47. Minimum age for program*
48. Maximum age for program*
50. Do you believe Eagle has the demographic you are looking to reach? Please explain:
52. Please list supplies that you will provide. *
54. Please list supplies that participants are encouraged to bring.

    Example: knitting needles, notebook...etc.

56. Please list special site or set-up requirements needed for the program:

    Example: projector, tv, extension cords... etc.

58. Any other details you would like to add:
60. Will you need any assistance during or before class due to accessibility?
    Example: Interpreter, wheelchair access, etc. So we may provide you with needed assistance if necessary.
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field