Fitton Center for Creative Arts
Outreach Program Application
Organization Information
Organization Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
Hours of operation
Who is the main point of contact for outreach at your organization?
First Name
Last Name
Main point of contact email
example@example.com
Main point of contact title/position
Main point of contact phone number
Please enter a valid phone number.
What is a secondary phone number for your organization (if applicable)?
Please enter a valid phone number.
Program Specifications
Please fill out the following section according to how you would like the requested program to operate.
How many days a week?
What day (or days) of the week are preferred?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours per session?
e.g. 1-hour class, 2-hour class, etc.
Preferred start and end times for each session
e.g. 12 - 2pm, 11:30 - 1pm, etc.
Duration of the overall program
e.g. weekly for a year, one 8 week-long session, one time, etc.
How many students could be expected in a typical class?
What is the age range of your students?
Is there a designated art room with storage and supplies for artwork, or would the program be mobile?
There is a designated art room with storage
There is a designated art room, but no storage
There is no designated art room, but there is storage
Program would need to be mobile
Other
If you answered "Other" above, please specify why.
Will the same students attend each session, or will participants vary from class to class?
The same students will attend each class
Students will vary from class to class
Are there any restrictions on tools/materials that can be used in the program?
e.g. no scissors, no messy projects, etc.
Program Goals
Should the program focus on a specific medium, or explore multiple methods of art making?
Specific medium
Explore multiple methods
If a specific medium is desired, what are you most interested in?
Please check all options below that align with your vision/goals for this program:
Boost creativity and self-expression
Enhance problem-solving skills
Improve fine motor skills and hand-eye coordination
Reduce stress and promote mindfulness
Encourage patience and attention to detail
Build confidence through skill development
Foster appreciation for art and culture
Promote social interaction and teamwork
Enhance emotional well-being and self-awareness
Offer a constructive outlet for emotions
Display artwork in an exhibition
Explore a specific medium (painting, drawing, sculpture, etc.)
Program Funding
We are committed to partnering with organizations that share our mission of building community excellence through arts and culture. As a nonprofit organization, we must clarify that we are unable to offer our programming free of charge. Due to operational costs and the need to sustain our services, we require funding to maintain the quality and reach of our programs. We believe that through collaboration, we can find innovative ways to secure resources while continuing to offer valuable services to our community.
Have you already secured funding to support this program or do you require assistance seeking funding (note: while we are able to collaborate on funding requests, we ultimately cannot guarantee funding will be granted.)
Will your organization furnish supplies or should supply costs be included in the budget?
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