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Program Proposal Form

  1. Thank you for your interest in offering a new recreational opportunity to our community! Ephraim city strives to have the best programs possible for every age group and ability. As such we look to create partnerships with anyone who wants to provide a new and helpful opportunity to Ephraim residents.

    Please complete this Program Proposal Form and submit it to Recreation staff for evaluation and review. This form does not constitute a contract or qualify for application for employment. Ephraim city does not discriminate against race, gender, gender identity, ability, age, birthplace, income, cultural background, religion, or ideology.

  2. (please provide two or three sentences about yourself)

  3. (please provide any certifications that you hold pertaining to this program submission)

  4. Available Days of the Week
  5. Available Times of the Week
  6. (For example: age group, school level, gender, ethnicity, etc.)

  7. If you have any questions or concerns about this application, please contact Brandon at

  8. Leave This Blank:

  9. This field is not part of the form submission.