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For Audiences with Special Needs
Immersion Workshops
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Street Level
Street Level Home
About
Get Involved
Happenings
For Educators
Teen Arts Pass
Teen Arts Pass Home
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About Urban Gateways
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Residency Program Request
Residency Program Request
Tell us about yourself:
First Name:
Last Name:
School / Organization Name:
Your Title or Role:
Telephone:
Email:
Tell us about your school / organization:
Street Address - Line 1:
Street Address - Line 2:
City:
State:
Zip Code:
Tell us what art form you're interested in:
Media Arts
- Examples: video production, photography, sound mixing
Performing Arts -
Examples: dance, music, theater, storytelling
Visual Arts
- Examples: drawing, painting, mosaics, textiles
Other Art Forms
Tell us a few more details:
If you have preferred dates or times of year for a program, please list below:
Examples: October 9th and 12th, April to June 2018, etc.
Indicate Age Range or Grades:
Number of Classrooms:
Number of visits per week:
Estimated Budget:
Preferred day(s):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time(s):
Morning (8:00am-12:00pm)
Afternoon (12:00-3:00pm)
Late Afternoon (3:00pm-6:00pm)
Evening (6:00pm or later)
Tell us any other information you feel we should know:
What are your desired outcomes for a partnership/collaboration with Urban Gateways?
What questions/comments do you have for Urban Gateways?
How did you hear about Urban Gateways?
Please select...
Prior relationship with Urban Gateways
E-newsletter
Received Catalog
Urban Gateways website
Showcase or vendor fair
Referred by friend/colleague
Social media
Internet search
Other
Residency Program
Residency Program
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