Community Story Lab Inquiry
Use this form to start a conversation about Community Story Lab, a writing and acting course for adults age 21 and older led by Rose Conklin and currently for adults using New Jersey DDD self-directed funding.
This inquiry is not enrollment, a reserved place, funding approval, or authorization. NextGen Acting completed community-vendor enrollment with Acumen in 2025. The participant's Support Coordinator handles participant-specific Goods & Services approval, authorization, correct service connection, and available funds. Required ISP, PCPT, and authorization documents are discussed after the inquiry, and must not be sent through this form or ordinary email.
Participant name
*
First Name
Last Name
Is the participant age 21 or older?
*
Yes
No
Person completing this form and relationship to participant
*
Email
*
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred contact method
*
Email
Phone
Text
Best days or times to reach you
What interests the participant about storytelling, creative writing, acting, or making original scenes?
How would the participant most like to take part?
Writing
Acting
Both
Sharing ideas while someone else writes
Having another person read their work
Unsure
Anything that would help the participant feel comfortable and participate successfully? Please do not include medical records or confidential case documents.
Does the participant currently have a support coordinator?
Yes
No
Not sure
Support coordinator name
Support coordinator agency
Support coordinator email
example@example.com
Support coordinator phone
Please enter a valid phone number.
Format: (000) 000-0000.
Permission for NextGen Acting to contact the support coordinator about this inquiry
Yes
No
Not applicable
Anything else we should know?
Mondays, 11:30 AM–1:00 PM. October 26; November 2, 9, 30; December 7, 14, 2026; January 4, 11, 25; February 1, 8, 22, 2027. 12 sessions at NextGen Acting, 1210 Cozzens Lane, 2nd Floor, North Brunswick, NJ. The second-floor studio is reached by stairs and has no elevator. Full-course tuition: $1,440. DDD funding is determined for each participant with their Support Coordinator, and the required approval, authorization, service connection, and funds must be in place before a funded place begins.
After you submit, NextGen Acting will contact you to discuss fit and the support-coordinator/Acumen process. Please do not send confidential records by ordinary email or through this form.
Submit
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