Application for Inclusion in the Kawartha Pine Ridge District School Board Community Presenters Database

11257 visits since February 13, 2007

The Kawartha Pine Ridge District School Board Community Presenters Database is provided on the Board's internal web system as an information resource. Inclusion in this database does not constitute an endorsement by the Board or its employees. Teachers and Principals still have the responsibility to select presenters appropriate to their school and program needs. Presenters who have direct and regular contact with students (more than one school and more than one occasion) are required to provide a criminal record check to the school Principal.

View Guidelines for Presenters(NOTE: It is the responsibility of the Principal
View Guidelines for Hosting a Presenterto ensure that any individual who
Character Educationworks directly with students has a
Kawartha Pine Ridge District School Board Home Pagecriminal record check.)
Information About Criminal Record Checks 

(note: all fields highlighted in yellow must be filled in for the application to be submitted.)

Name of Organization/Artist(s)
Contact Person:
Mailing Address:
Postal Code:
Telephone Number:   Fax Number:  
Email Address:
Web Site:
Highlights of Professional Experience

Program Connections (please check all that apply)
Dance Drama    Music Theatre Music   
PuppetryStorytelling    Author Illustrator   
Speaker Visual Artist Please indicate principle medium for visual arts  
Other Can Present in French

  Do you have Ontario Arts Council financial support?       Yes   No  

  What are the educational aspects of your presentation (i.e. healthy lifestyles, character education, mathematics, history, etc.)
  

  The presentation is most suitable for students in grades:
  K-3     4-6     7-8    9-10     11-12 

  Group Size Limits

  Geographical Limits:   I am willing to present in the following regions: (check all that apply)

      Peterborough County   Clarington Region  Northumberland County

  Other geographical limitations:( ie: only in Brighton)

  Time Restrictions: (ie: is there any time when you are unavailable?)

  Briefly describe who you are and the programs/services available through you.
  

  Fee Structure:(Please include ALL associated costs.)
Mileage Materials
Accommodations Presentation Fee
(Hourly, Session, Daily Rate or No Fee)

  Length of performance or presentation:  

  Special Requirements:   (i.e. accessibility, sound, AV, space)
  


  References:

Please list any school where you have presented.
School: Teacher Contact:
School: Teacher Contact:
School: Teacher Contact:
School: Teacher Contact:


By submitting this application I agree to allow the Kawartha Pine Ridge District School Board to post the information contained herein on its internal web site for the use of teaching staff and other Board employees.