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City Of San Dimas

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BROWSE CITY OF SAN DIMAS (CA) FORMS

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City of San Dimas Parks and Recreation Department
Welcome
Dear Potential Instructor,
Thank you for your interest in offering a recreation class to our community of San Dimas. The City of
San Dimas Parks and Recreation Department is dedicated to providing the citizens, community
organizations, and interest groups of the community a broad spectrum of activities during their leisure
hours, based on their needs and desires to enrich the quality of life in the community. Programs and
activities may be designed for preschoolers, school age children, teens, adults, older adults or
families.
Our instructors are independent contractors for the City of San Dimas. This means that the instructor
is a contract employee of the City of San Dimas, contracted to conduct specialized recreation
programs of an instructional nature. As instructor you are responsible to provide all equipment and
supplies needed to conduct your proposed class in a professional manner.
Instructors are contracted quarterly on a 68/32 basis. This means that instructors receive 68% of the
registration fees collected; the City receives 32% of the registration fees collected. Instructors are
paid at the conclusion of the session and checks are generally distributed within 2 weeks of the class
end date.
Class instructors that will be teaching children under the age of 18 must be fingerprinted through the
San Dimas Sheriff’s Department and some instructors are required to carry liability insurance for the
class they instruct through the program. A current copy of your insurance certificate and an additional
insured endorsement will be required when you submit your Contractor Agreement for Recreation
Class Instructor.
Please return the class proposal form to the Parks and Recreation Department at 245 E. Bonita Ave.
San Dimas, CA 91773. Attach any additional information, certifications, samples of work or resume
with this form.
If you have any questions feel free to contact me at (909) 394-6231.
Sincerely,
Dominique Borba
Recreation Coordinator
How It Works
The process begins with the independent contract instructor “proposing” a course or activity. There is
a form enclosed in this handbook that you will need to complete when proposing a new course. The
proposal is then submitted to the City of San Dimas Parks and Recreation Department.
The Recreation Coordinator will review the proposal, assess the “content” of the course/activity to
determine its potential in meeting the Department’s vision and goals, and then contact you for a more
detailed discussion.
Together, the Recreation Coordinator works with you to determine the specific design of a
course/activity in regards to facility suitability, facility availability, fee structure, course time frames,
participant minimums and maximums, age ranges, and course descriptions, etc.
Once the San Dimas Parks and Recreation Department accepts your proposal, a formal written
contract will be produced that will specifically outline the agreement.
C
on
t
r
a
ct
Sessions
Winter
S
e
ss
i
o
n
:
December
-
February
In order to submit information for the Frontier Recreation Guide, your class worksheet will be due
First Friday of September.
Spring Session: March
–
May
In order to submit information for the Frontier Recreation Guide, your class worksheet will be due
First Friday of November.
Summer
S
essi
o
n
:
June
–
A
ugus
t
In order to submit information for the Frontier Recreation Guide, your class worksheet will be due
First Friday of February
Fall
S
e
ss
i
o
n
:
September
–
November
In order to submit information for the Frontier Recreation Guide, your class worksheet will be due
First Friday of May.
CLASS P
R
OPO
SAL
Please type or print in ink. A Separate Proposal required for each class.
Instructor Name: Home Phone:
Address: Cell Phone:
Email:
Pro
g
ram
Fo
c
u
s
:
(Please s
e
le
c
t
all that apply to your
proposed
class.)
Fostering Human Development: Dance, Art, Preschool, Skill Building, Continued Learning, etc.
Improving Health & Wellness: Fitness, Healthy Habits, Aerobics, Stretching, etc.
Increasing Safety: Safe Habits, Prevention, Life -Saving Skills, etc.
Strengthening Families: Participating Together, Parenting Skills, Appreciation, etc.
Connecting People to People: Social, Neighbors helping Neighbors, Friendships, etc.
Class Title:
Class Description:
_
Equipment Needed:
Special Requirements (supply fees, materials, type of facility, etc.):
Targeted Age Group: Length (In hours per day)
Class Enrollment: Minimum Students: Maximum Students:
Proposed Fee per Student:
Proposed Class Schedule:
First Choice
Second Choice
Third Choice
Day(s)
Time(s)
Number of weeks
Additional Comments:
From:
To:
From:
To:
I
N
D
E
P
E
N
D
E
N
T
CONTRACTOR
HI
ST
ORY
Name Day Phone
Address Zip
Tax I.D. or Social Security # Eve. Phone
Proposed course:
Related educational background
Specialized training
Agency
From:
Title:
To:
Description:
Related Experience
Other Courses qualified to teach_
Fluency in other languages
References: (Work or teaching related)
Name
Title
Day Phone
1.
2.
3.
Have you ever been convicted of a felony, or within the past two years, a misdemeanor which
resulted in imprisonment? Yes
No
If yes, please explain
I certify that all the statements on this application are true and complete to the best of my knowledge.
I hereby authorize the City of San Dimas to investigate any information contained in this application. I
understand false or incomplete statements shall be sufficient cause for disqualification or dismissal of
contract.
Signature Date
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signature
click to edit
CLASS OUTLINE
Please outline course topics per week for multi-week classes and/or per hour for single day
workshops. Please type or print in
ink.
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City Of San Dimas

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Completed 4 August 2020

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