VAPAM Coaching Form

Creative Aging Coaching Intake Form
Use the form below to sign up for a coaching session with Lifetime Arts. In order to provide us with some background information, the form will ask some questions related to the topic(s) you are interested in discussing. After submitting the form, you will be redirected to Calendly to schedule a meeting time with a Lifetime Arts staff member.
Your Name*

First NameLast Name
Organization*
Your Email*
example@example.com
Are you initiating a vision planning session, or other technical assistance session?*

Vision planningReflectionTechnical assistance
What are you looking for coaching/assistance with?*

Community assessmentsNew staff orientationPartnership developmentFinding/hiring a teaching artistProgram planning (ex: curriculum and budget review, logistics)MarketingRecruitment, registration, retentionOther
Planned Artform(s)
Have you identified any additional potential partners? If yes, please explain:
If you haven’t already done so, briefly tell us about your program plans/vision so far:
Tell us about what you would like assistance with, including any background information that will help us better assist you: *
Note: Depending on the complexity of your technical assistance, we may follow up with additional questions before our conversation.
How did you determine which programs to offer? Did you complete community assessments, formal or informal, survey your patrons, etc?
What, if any, changes have you made in your program plans since submitting your proposal?
Have you identified an appropriate space for the program? Or, if you're planning a remote program, do you have access to a remote delivery platform (ex: Zoom). If yes, please describe:
How are you identifying teaching artists for your program(s)? Do you already have a teaching artist in mind, do you have a strategy to find teaching artists, etc.?
Do you have a teaching artist in mind for your program(s)? We can discuss this during the coaching session.

yesno
Are there other special considerations about access, for example physical or technological barriers? If yes, please explain:
What is your organization’s greatest asset?
What is your organization’s greatest challenge?
What is your biggest creative aging programming concern?
Briefly describe your programs so far (note: you can skip this question if we’ve already spoken about your classes in previous coaching sessions)
Tell us more about your efforts in the following areas. What did you find particularly successful and what unexpected challenges emerged?
Community assessments and partnership development
Program planning and implementation
Sequential instruction and intentional social engagement
Marketing, recruitment, retention
The culminating event
Outside of these areas, were there any other discoveries or outcomes? These can be positive or negative ones.
How do you envision addressing these challenges and leveraging successes in your upcoming programs?
Teaching artist name

First NameLast Name
Program start date

MonthDayYear
Date
If you would like to include any documents or images for reference and/or review, please attach below.
If you are requesting assistance with curriculum or budget review, please attach below.
Uploads

File types accepted: pdf, doc, docx, txt, rtf, jpg, jpeg, png, tiff, gif Max File Size: 10.8MB
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Creative Aging Coaching Intake Form