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Apply For Services

Please complete the Request for Services form. All fields are mandatory unless otherwise indicated.

Region for Service Request:

Part I: Client Contact Information

Client (Recipient of Services):
Main Contact Person:
Title:
Address:
City:
Province/Territory:
Postal Code:
Phone Number:
Fax (optional):
Cell Phone (optional):
Email (optional):
Website Address (optional):

Part II: Client Profile

1. Have you received CESO assistance in the past?:
NoYes
2. How did the client learn about CESO?:
Personal contact Business contact Conference/Tradeshow Promotional Material CESO Website NationTalk Internet (Other Sites) Radio Magazine/Newspaper Yellow Pages
Other:

3. Indicate one of the following that pertains to the Client (Recipient of Services):
First Nation Inuit Metis Non Aboriginal
Other:
If possible, please name affiliation:

4 (a). Please describe your organization (select ONE that best applies):
Governance/Administration Community Program Services Financial Institution Friendship Centre Training or Educational Institution Goverment Agency Women's Association Business (if selected, please go to 4b)
Other -- please describe:

4 (b). For businesses, describe ownership (check all that apply):
First Nation Métis Inuit Individual Partnership Community/Cooperative On-Reserve Off-Reserve
Year established:
Type of Business:

Part III: Services Requested

5. What do you want the Volunteer Adviser (VA) to assist you with? If your request is for a workshop, please describe your needs or identify the title of the workshop:

6. What prompted the request for assistance? Please be specific.:

7. Please describe the expected results from the assistance provided by the VA.:

8. Please identify the specific skills and experience required of the VA.:

9. How many people will be involved in the training or participating in the workshop?:

10. What is your preferred start date?:

Estimated completion date?:

11. Has the initiative received approval from your local government, Board of Directors, or other?:

Yes
No

Explain:

12. Are funds available for this initiative/venture?:

Yes
No

Explain:

Part IV: Client Acknowledgement

I confirm that the information contained in this Request for Services form is accurate and represents the requirements of the Client.:
I understand that the $150 Application Fee, payable to CESO, is non-refundable unless CESO is unable to find a suitable VA to provide the assistance requested above.:
I understand that a contract will follow providing an estimate of costs based on the nature of assignment and the VA(s) selected.:
Name:
Title:
Date:

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Canadian Executive Service Organization
CESO | SACO is a registered charity (BN 11883 0850 RR 0001), with no political or religious affiliations.
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CESO | SACO: Sharing a Lifetime of Experience

Where We Work

Apply For Services

Part I: Client Contact Information

Part II: Client Profile

Part III: Services Requested

Part IV: Client Acknowledgement