YCS Program Proposal/Application Form - Returning Instructor

INSTRUCTOR INFORMATION
Instructor's Name Instructor's Name * First Last
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email *

Confirm Email Address *
What contact information may YCS staff give to class participants with questions? *

What contact information may YCS staff give to class participants with questions? Cell Phone Home Phone Work Phone Email None
PROGRAM INFORMATION
Program Title *

What do you want the name of your program to be?
What grades or ages is your program designed for? *

What grades or ages is your program designed for? Pre-K Grades K-1 Grades 2-4 Grades 5-8 Grades 9-12 Adults Seniors Other Other
What day(s) of the week will yours program meet on? *

What day(s) of the week will yours program meet on? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Other Other
Select your requested program start date. Select your requested program start date. * / MM / DD YYYY

Your program start date
Select your requested program end date. Select your requested program end date. * / MM / DD YYYY

Your program end date
List any dates you wish to skip within your program dates.

Please list the reason why for each date you need to skip unless its a school vacation or holiday.
Select your requested program start time. Select your requested program start time. * : HH MM AM/PM

Program start time
Select your requested program end time. Select your requested program end time. * : HH MM AM/PM

Program end time
Select the total cost of the program (per person). * $ Dollars . Cents
If you wish to volunteer, put $0.00.
Multiply the total cost of the program by .70 to calculate the per person rate you will receive.

Please check that you have read and agree to the 70%/30% split. *

Multiply the total cost of the program by .70 to calculate the per person rate you will receive.

Please check that you have read and agree to the 70%/30% split. I Understand that 70% of the program revenue will go to the instructor(s) and 30% will go to YCS.
Comments to YCS staff about the above requested rate of pay

Optional
The YCS Refund Policy is as follows: Full refunds are given if a class/program is cancelled or rescheduled. If a participant withdraws at least 5 business days before the first class, they will receive a full refund. 50% refunds will be given if a participant withdraws 2-4 business days before the first class. No refunds will be given if a participant withdraws less than 2 business days before the first class. *

The YCS Refund Policy is as follows: Full refunds are given if a class/program is cancelled or rescheduled. If a participant withdraws at least 5 business days before the first class, they will receive a full refund. 50% refunds will be given if a participant withdraws 2-4 business days before the first class. No refunds will be given if a participant withdraws less than 2 business days before the first class. I have read and understand the YCS refund Policy
What is the minimum number of participants you need to run the program? *
Must be a number greater than or equal to 2.
What is the Maximum number of participants you will allow? *
How many 50% fee waivers are you willing to accept? *

How many 50% fee waivers are you willing to accept? 1 2 3 4 Can't accept fee waivers Other Other
Please list any requests for special program equipment, needs or room requirements
Please supply a short paragraph that we can use in our activity guide to describe your program. OR you may upload a word document instead (see next question)

Descriptions may be edited by YCS staff.
Program description file upload

Attach Files

Descriptions may be edited by YCS staff.
Any notes or comments you want YCS staff to be aware of regarding you or your program proposal?

YCS Program Proposal/Application Form - Returning Instructor

YCS Program Proposal/Application Form - Returning Instructor

INSTRUCTOR INFORMATION

PROGRAM INFORMATION