Community Use of Schools – External AV Technician Application – CLASS Shared School Services Chatham-Kent

Name * Required
First Last
Business name
If your company is registered, please provide your Business Number (BN).
Email address * Required
Contact phone # * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Which facility are you interested in provided AV Tech support for? * Required
- Great Lakes Secondary School Auditorium
- Ursuline College Auditorium
- Both sites, Great Lakes Secondary School Auditorium AND Ursuline College Auditorium
Please provide a brief overview on your Audio-Visual experience, in particular with regard to music, theatre and other live events. * Required
Is there a professional reference that we could contact? If so, can you please provide their contact information. * Required
Are you able to provide a Criminal Background Check? * Required
- Yes
- No
Are you able to provide proof of General Liability Insurance, in the amount of $5,000,000, listing the Lambton Kent District School Board and the St. Clair Catholic District School Board as additional insured? * Required
- Yes
- No
Comments
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