NOTE: You will not be able to save your application to work on at a later time. Please complete all the required information and submit your form at one time. Location Location? - Select -GTA & SurroundingOther Where are you located in Ontario? GTA Date Request Preferred Time of Program - Select -MorningAfternoon Morning: 8:00 am to 12:00 pm, Afternoon: 12:00 pm to 4:00 pm Date - First Choice Date - Second Choice Date - Third Choice Other Ontario Program Locations and Dates We are visiting the following locations outside the GTA on the dates indicated: Location Dates Due to COVID-19 all previously scheduled Outreach Programs are currently suspended. TBD Choose a Location - None -Not available Eastern Ontario 1st Choice - None -March 09 AMMarch 09 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9 - 13, 2020 Eastern Ontario 2nd Choice - None -March 09 AMMarch 09 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9 - 13, 2020 Eastern Ontario 3rd Choice - None -March 09 AMMarch 09 PMMarch 10 AMMarch 10 PMMarch 11 AMMarch 11 PMMarch 12 AMMarch 12 PMMarch 13 AMMarch 13 PM Dates: March 9 - 13, 2020 Huron Bruce 1st Choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11th - 13th, 2020 Huron Bruce 2nd Choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11th - 13th, 2020 Huron Bruce 3rd Choice - None -February 11 AMFebruary 11 PMFebruary 12 AMFebruary 12 PMFebruary 13 AMFebruary 13 PM Dates: February 11th - 13th, 2020 Northeastern 1st Choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14 - 17, 2020 Northeastern 2nd Choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14 - 17, 2020 Northeastern 3rd Choice - None -April 14 AMApril 14 PMApril 15 AMApril 15 PMApril 16 AMApril 16 PMApril 17 AMApril 17 PM Dates: April 14 - 17, 2020 Central Ontario 1st Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19 - 22, 2020 Central Ontario 2nd Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19 - 22, 2020 Central Ontario 3rd Choice - None -May 19 AMMay 19 PMMay 20 AMMay 20 PMMay 21 AMMay 21 PMMay 22 AMMay 22 PM Dates: May 19 - 22, 2020 Northwestern Ontario 1st Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 08-12, 2020 Northwestern Ontario 2nd Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 08-12, 2020 Northwestern Ontario 3rd Choice - None -June 08 AMJune 08 PMJune 09 AMJune 09 PMJune 10 AMJune 10 PMJune 11 AMJune 11 PMJune 12 AMJune 12 PM Dates: June 08-12, 2020 Niagara Hamilton 1st Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24th to 26th, 2019 Niagara Hamilton 2nd Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24th to 26th, 2019 Niagara Hamilton 3rd Choice - None -September 24 AMSeptember 24 PMSeptember 25 AMSeptember 25 PMSeptember 26 AMSeptember 26 PM Dates: September 24th to 26th, 2019 North Central 1st Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15th to 18th, 2019 North Central 2nd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15th to 18th, 2019 North Central 3rd Choice - None -October 15 AMOctober 15 PMOctober 16 AMOctober 16 PMOctober 17 AMOctober 17 PMOctober 18 AMOctober 18 PM Dates: October 15th to 18th, 2019 Southwestern Ontario 1st Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12th to 15th, 2019 Southwestern Ontario 2nd Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12th to 15th, 2019 Southwestern Ontario 3rd Choice - None -November 12 AMNovember 12 PMNovember 13 AMNovember 13 PMNovember 14 AMNovember 14 PMNovember 15 AMNovember 15 PM Dates: November 12th to 15th, 2019 If your choices are not available, are you able to host a program on another date during this week? If so, please select 'Yes' and indicate the date and time. Indicate Yes/No - None -YesNo Please Specify Date/Time About Your Group Type of Group - Select -Community GroupYouth GroupAdultScouts and Guides Select Adult Group: - None -NewcomersSeniorsESLOther Type of Community Group - None -Community CentreAfter School ProgramOther Describe Type of Youth Group: Describe Other: Describe Other: ESL Language Level - None -BeginnerIntermediateAdvancedMixed Specify Mixed ESL Levels eg. Intermediate/Advanced, Beginner/Intermediate, etc. No of People in Group No of People in ESL Group No of People in Adult Group Select Language - Select -EnglishFrench Special Needs - Select -YesNo Describe Special Needs Contact Information Name Phone Number Type - Select -Office (Day)CellHome Phone Number Email Name of Organization Organization Address Street City/Town Postal Code ie. A0A 0A0 Will the the presentation be hosted at the Organization Address? - Select -YesNo Address Where Presentation Will Take Place: Additional Comments Privacy The Office of the Assembly takes reasonable steps to protect your privacy. Send questions to privacy@ola.org. Leave this field blank