1. REQUEST BY OUTSIDE AGENCY FOR DISTRIBUTION OF MATERIAL

DISTRICT SCHOOL BOARD ONTARIO NORTH EAST
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Schumacher Office
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New Liskeard Office
Tel: (705) 360-1151
Tel: (705) 647-7394
Fax: (705) 268-7100
Fax: (705) 647-9212
Mailing Address: P.O. Box 1020, Timmins, ON P4N 7H7
Site & Mailing Address: 198022 River Road, R.R. #1
Site Address: 153 Croatia Ave, Schumacher, ON PON 1G0
New Liskeard, ON P0J 1P0
REQUEST BY OUTSIDE AGENCY FOR DISTRIBUTION OF MATERIAL
1.
Agencies/Organizations must have an association or be reciprocal in nature with children.
2.
No office or clerical services will be available (i.e. sorting, counting of materials, etc.).
3.
School addresses and telephone numbers are available on the Board website:
www.dsb1.ca
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4.
Enrolment numbers are to be obtained directly from the individual schools.
5.
If approved by the Superintendent, it is at the discretion of the principal of each
school in the region as to whether or not they will accept or how they will distribute
any materials at their school.
Agency/Organization:
Contact Name & Position:
Phone #:
email or fax#:
Description of document(s) to be distributed (include which school(s) & grade(s) you wish to
receive material). NOTE: Sample must be submitted & a copy of this form must accompany EACH
package delivered to the school(s)):
Date of Request:
Once completed, forward this form and the material to the appropriate Executive Assistant:
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For NORTHERN REGION (Hearst, Kapuskasing, Cochrane, Iroquois Falls, Matheson) and
CENTRAL REGION (Timmins, Porcupine, South Porcupine):
dianne.gaudreau@dsb1.ca
or fax 705-268-3228
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For SOUTHERN REGION (Kirkland Lake, Englehart, Temiskaming Shores, Temagami,
Kerns, Elk Lake):
shanyn.bradford@dsb1.ca
or fax 705-647-8073
Request has been:
Approved
Denied
Date
Signature of Superintendent of Schools/Designate
User files/forms/Distribution of Materials ALL REGIONS Aug’14
OUTSIDE AGENCY/ORGANIZATION
t o c o m p l e t e t h i s s e c t i o n & f o r w a r d
t o a p p r o p r i a t e R e g i o n a l O f f i c e A d m i n i s t r a t o r
G U I D E L I N E S
SCHOOL BOARD- will complete below and return to contact
p e r s o n
NEW

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