Professional/Technical Contract Interest Form We are interested in offering competitive rates to contract instructors who can provide art, fitness, and other programming for the public at CABQ community centers. If you are interested in contracting with the City to teach or facilitate a program, please fill out this form. Once the request form is submitted, it will be reviewed by staff. If there is a need for this program/activity, a staff member will reach out with the next steps for creating a contract. Individuals seeking a contract to provide community center programming may be required to submit a background check, insurance certificates, and/or a business license. Fields with a red dot ⏺ are mandatory. Contact Person (First and Last Name) Contact Email Contact Phone Number Please include area code. For example 505-500-5000. Organization Name (if applicable) Program/Activity Name & Description Describe Previous Experience Providing Similar Programs/Activities Explain the Outcomes of Those Previous Program/Activities Experiences Who Would this Program/Activity be Directed Toward? Youth (5 to 15 years old) Young Adult (16 to 20 years old) Adults (21 to 55 years old) Seniors (55+ years old) Multigenerational/Families Unsure What Category Would this Program/Activity Fulfill? Academic Enrichment Arts & Culture Athletics College & Career Health & Wellness Service Learning Social/Emotional Learning STEM Other Other If you selected the Other checkbox in the previous question (What Category Would this Program/Activity Fulfill?), please provide the category. Primary Location of Interest Select OneAlamosaBarelasCesar ChavezDennis ChavezDon Newton - Taylor RanchHeightsHerman SanchezHoliday ParkJack CandelariaJeanne BellamahJoan Jones @ Atrisco HillsJohnny Tapia @ Wells ParkLoma LindaLos DuranesMesa VerdeSinging ArrowThomas BellWest MesaWest GateUnsure/Open to DiscussionMultiple Secondary Location of Interest Select OneAlamosaBarelasCesar ChavezDennis ChavezDon Newton - Taylor RanchHeightsHerman SanchezHoliday ParkJack CandelariaJeanne BellamahJoan Jones @ Atrisco HillsJohnny Tapia @ Wells ParkLoma LindaLos DuranesMesa VerdeSinging ArrowThomas BellWest MesaWest GateUnsure/Open to DiscussionMultiple How Would the Program/Activity be Offered? Open to the Public/Walk-Ins Pre-Registered Participants Program/Activity Occurrence Daily Weekly Bi-Weekly Monthly Program/Activity Desired Time Morning Afternoon Evening Weekends Average/Preferred Number of Participants Per Session Room Selection Classroom/Meeting Room Gymnasium Patio/Outside Computer Lab Arts/Crafts Room Other Other If you selected the Other checkbox in the previous question (Room Selection), please provide the room. List Other Amenities Needed to Provide this Program/Activity Captcha Submit I understand that this is an interest form and I will be contacted by community center staff regarding this request. Please confirm all required fields are populated before submitting your form. Fields with a red dot ⏺ are mandatory. Your form is not submitted until you click the Submit button and see the confirmation page which includes a recap of your completed form fields.
