Expression of Interest for Workshop Facilitators / Exhibitors at WPCCL

Name of Facilitator (individual/ group)

Contact person

First Name

Last Name

Phone number

Email Address

Postal Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Languages spoken other than English (if any)

Do you have a Working with Children's Check?

Yes

Do you have a public liability insurance?

Yes

Please provide a short description of your proposed workshop including its relevance to the intended audience (general public, children, etc.)

Please provide a short description of your experience in your field an previous work facilitating a workshop.

Do you have a website, Instagram page, Facebook page, or any other online presence where we can see your work? If so, list them.

*Please note, this is an ongoing expression of interest form and submits your business information into a pool of potential facilitators for Wentworth Point community Centre and Library. A member of staff will be in touch as opportunities at the facility arise in the future.

Expression of Interest for Workshop Facilitators / Exhibitors at WPCCL

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