In-School Residency Request Form

In-School Residency Request Form
Please fill out this form to request that Walker Art Center Educators visit your classroom through an In-School Residency. During our visit, Walker Educators will facilitate a discussion-based lesson about works from the Walker’s collection, followed by a related art-making project. Residencies and all materials are free and provided by the Walker Art Center.

Once your form is received, we will reach out to coordinate the logistics of our visit.

Due to a high volume of inquiries, we require all requests to be submitted by form.

If you are unable to complete the form for any reason, please contact us at tours@walkerart.org or 612-375-7609 for assistance.
School Information
School Name
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parking Information and Instructions
Please let our team know if there are specific directions they should follow when parking/visiting the school site. Example: street parking, school lot parking, register in office, etc. If not applicable, please write “N/A.”
Type of school

Other–Please explain
Contact Information
Your name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In-school Residency Information
Themes

The Walker offers different activities for in-school residencies, each designed to meet Minnesota K-12 academic standards. Learn more about each theme and select your preferred choice below.
Please describe what activity you are hoping to have Walker Educators facilitate, including any goals you may have. We cannot guarantee custom projects.
Please select 2–3 dates that would work best for the in-school residency. Please note: we tend to have the most availability for in-school visits on Mondays and Tuesdays.
1st choice of date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
2nd choice of date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
3rd choice of date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Number of participants
Please list the total number of students that will participate in the in-school residency.
Number of classes
Please list how many classes will participate in the in-school residency.
Class size
Please list the average number of students per class.
Number of adults
Please list the number of adults that will be present during each session
Length of class period
Please list the length of an average class period.
Please share a class schedule that includes all classes you’d like Walker Educators to see.
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Grade(s) that will be participating in the in-school residency. Please select all that apply.
What kind of room will be available for the in-school activity? Please note: it is best for all participants to be able to be seated and have a surface on which they can make their art. Ideally, all have a clear sight line to the front of the room.

Other
Do you have a way to share a PowerPoint presentation with each class? This could be a projector, promethean board, or other technology in the participating classroom*
Language Needs

When possible, we provide direct instruction in your requested language by a Walker Educator(s). When an Educator(s) fluent in that language is not available, we use an interpreter(s).
For accessibility, what language does this program need to be conducted in?

Other
Please describe how many participants need facilitation in each language selected (“For example, 5 students are D/deaf and need ASL, 10 students need Spanish as their first language”)
Do you have any students who are English learners? (This will help our Educators prepare, even if no interpreters are needed.)
If you answered yes, please let us know how many and if there are any tools that would be helpful for these students if interpretation in their first language is not requested?
Please note any sensory, accessibility, behavioral, or communication considerations you’d like us to be aware of and if any of your students will have personal aides accompanying them, or if they require accommodations to participate in the experience.
Is there anything else we should know about your school/classrooms/students before we visit?
Are you interested in scheduling a follow-up visit to the Walker Art Center for your students?
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In-School Residency Request Form

School Information

Contact Information

In-school Residency Information

Themes

Language Needs