FORMS

To submit a proposal for a program through Great Harbour, simply fill out the electronic form below. It will be automatically submitted and the Program coordinator will contact you.

Also Note*** Before completing this form you MUST provisionally book your space by calling
Bedford United Church (835-8497).

Program Proposal Form

Please read the information here before filling out the form below.


All fields in this dark blue color need to be completed before you can submit the form
Name:
Address:
City:
Prov:
Postal Code:
Phone:
Email:


Send me a copy of the submission

Program Title:
Short Description

(...will also appear in the
Great Harbour Brochure):
Your experience and
qualification in this area:
How will participants
benefit from this program:
Your assessment of the interest
or need for such a program:
Proposed Fee (if applicable):
Min number of Participants:
Max number of Participants:
Location:

Start Date:
click the calendar to select your date
End Date:
click the calendar to select your date
Program Length:
Start and End Times:
(example: 7pm to 9 pm)

PROGRAM PLAN:

List the session titles in numerical sequence. If a title does not convey the theme or purpose of that session, give a one-line description of the course content for that session. For each session, include any text material to be covered,text name and pages or chapters. Include under each title any instruction aids to be used, such as video or audio, and the names of any outside presenters that may be asked to participate.

 

Facilitator:
same as above
Facilitator phone:
same as above
Facilitator email:
same as above
Web Site
Participants required to register by (if required):
click the calendar to select your date
By clicking this checkbox you are confirming that you have called either Stairs Memorial United Church in Dartmouth or Bedford United Church in Bedford to provisionally book your space for the dates you indicated above.

Although the electronic form is preferable for our records, you may also download and print the Adobe Acrobat form and submit it to the Bedford United Church Office.

Click here to download the printable form