Creative Expression application form Once your application has been submitted, you will receive a confirmation email. Applications will be reviewed, and you will be contacted regarding your application status. Name of school or organization Coordinator or teacher's full name Contact info Email This field is required. Phone Address This field is required. City/Town This field is required. Postal Code This field is required. Preferred method of contact Preferred method of contact Phone Email Number of participants (minimum 6, maximum 12) Number of support staff for workshops Do you have an available space where the program could be facilitated that can accommodate the needs of the participants with a sink? Do you have an available space where the program could be facilitated that can accommodate the needs of the participants with a sink? Yes No Preferred season Preferred season Fall (September – December) Winter (January – March) Spring (April – June) Preferred day of the week and time Sessions run for 6 weeks in a row (ex. Tues @ 10) Please give a brief description of your organization (i.e., your mission statement) Please give a brief description of your participants’ special needs If you are not selected for the sponsored program, would you still be interested in a single paid ($75) workshop? If you are not selected for the sponsored program, would you still be interested in a single paid ($75) workshop? Yes No I give permission to receive PAMA News featuring upcoming events, exhibitions, and programs. Leave this field blank
