Delaware Creative Aging Program Planning Form

Delaware Access Creative Aging

Program Planning Form
Use the form below to submit your plans for each of your workshop series.

Upon completion, you will be redirected to sign up for a 20 minute coaching session with Lifetime Arts. Before scheduling, be sure to coordinate a time that works for you and your team.

Please Note:
- You are required to use the following templates:
  - Workshop Curriculum Template
  - Program Budget Template
Primary Contact Information

Please provide the contact information for this workshop series.
Organization*
Coordinator Name*

First NameLast Name
Coordinator Title*
Coordinator E-mail*
Coordinator Phone Number*
Primary Teaching Artist Name*

First NameLast Name
Primary Teaching Artist E-mail*
Primary Teaching Artist Phone Number*
Additional Staff Name

First NameLast Name
Title*
E-mail*
example@example.com
Phone Number*
Program Details

Please provide programming details about this workshop series.
Name of the Workshop Series*
Workshop Description*
Program Delivery Method*
Site Name*
Site Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Artistic Discipline*
Art Form*
Maximum Class Size*
Program Schedule

Please provide scheduling details about the workshop series.
Workshop Days (Click all that apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Workshop Start Time*

:HourMinutesAM/PM Option
Length of Workshop*

:HourMinutes
First Session*

MonthDayYear
Last Session*

MonthDayYear
Number of Workshop sessions*
Additional details about your program schedule (e.g. skipped dates, field trips, etc.)
Culminating Event Details

Please provide scheduling details about your primary culminating event. If there are multiple culminating events for this program, please share any additional information about these events.
Number of Culminating Events*
Culminating Event Delivery Method*
Culminating Event Location*
Culminating Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Culminating Event Day*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Culminating Event Date*

MonthDayYear
Culminating Event Start Time

:HourMinutesAM/PM Option
Culminating Event Duration

:HourMinutes
Primary Culminating Event Time
Multiple Culminating Event Details
Additional Assessment Questions
What challenges arose from your assessments?*
Describe any additional partners, if any:
Describe your plans for marketing:*
Describe your registration process:*
What are your biggest concerns?*
Uploads

Please upload the following documents: Workshop Curriculum and Program Budget. Please use the templates provided.
Workshop Curriculum*

Upload a File
Title your file: Organization_Art Form_Curriculum Cancelof
Program Budget*

Upload a File
Title your file: Organization_Art Form_Budget Cancelof
Should be Empty:

Delaware Access Creative Aging

Primary Contact Information

Program Details

Program Schedule

Culminating Event Details

Additional Assessment Questions

Uploads