Select Classes of Interest Checklist
Name and Date
-
Month
-
Day
Year
Name and Date
Arts & Crafts
Rows
Check
Notes
Drawing, sketching?
Painting? What type, water color, acrylic, etc.?
Candle, soap Making?
Jewelry Making?
Pottery/Sculpting?
Paper creations?
Flower and Wreath Arrangement?
Other? Please explain.
Music
Rows
Interested
Notes
Music Lessons?
Which Instrument(s)?
Singing?
Other? Please explain.
Educational
Rows
Interested
Notes
Tutoring, private or group?
Tutoring with Peer or Teacher?
Afterschool Homework help? Grade?
ESL?
Finance/Budgeting?
Cursive Writing?
Typing/Keyboarding?
Marketing?
Other? Please explain
Life Skills and Beauty Mindfulness
Rows
Interested
Notes
Sewing: Hemming, stitching?
Food Prep: Safety and Prepping Food?
Hygiene/Body Care: Teeth, Skin, Hair,
Hair Braiding Classes? Series of 4 to 6 Classes or one longer class?
Hair Maintenance: scalp health?
Taking Care of Hair, Skin,?
Clothing: Folding, Steaming/Ironing
Eye Care: extensions?
Etiquette Classes?
Nutrition Classes?
First Aide?
Other? Please explain/
Holistic: Mindfulness and Exercise
Rows
Interested
Notes
Reiki
Massage
Sound Reiki
Foot Detox
Food
Stress Management
Yoga, Pilates?
Drumming?
Boxing?
Various Exercises?
Meditation?
Self Defense?
Other? Please explain.
Social/Emotional
Rows
Interested
Notes
Stress Management
Anger Management
Group Play/Clubs?
Social and Peer Engagement?
Other? Please explain
Clubs and Play
Rows
Interested
Notes
Chess Club
Book Club
Lego Group
Peer Club
Board Games?
Dance?
Transfer Bookkeeping and financial records to new Treasurer.
Additional Areas of Interest
Rows
Interested
Notes
Parents night out (drop children off for 3/4 hours)
Holiday pictures with Santa, Easter Bunny, etc.
Special Events? Easter, Christmas, Thanksgiving, Trick or Treat
Gardening: grow flowers and bushes, learn about gardening?
Paint and Sip?
Time of Day
Rows
Check
Notes
What time is best (AM/PM and timeframe)?
Days of interest,/weekdays?
Days of interest/weekend?
Best way to reach out
Rows
Check
Notes
Distribute via mail? Provide informaiton
Distribute by email? Provide information
Come into center/in-person?
Social media? Which platform?
Age Group
Rows
Check
Notes
4 and under
5 to 8 years old
9 to 12 years old
13 to 17 years old
18 to 40 years old
40 to 65 years old
65 + years old
Interested in Volunteering? If so, what type of volunteering are you interested in?
Additional Information on classes, services, or any other interests not listed
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