ArtiFactory Programming

First Name

Last Name

Your email address

Organization?

Title of Program

ClassWorkshopDevelopmentExhibitCommunity EngagementRehearsalOther

Type of Event?
PublicPrivate

Promotion?
NoneWebsiteSocial MediaEmail

Description of Program

Reason this program is important to do? How Does It Further Our Mission? Estimate of Community Members Impacted?

Location?
Main HallStageGalleryStudio Common AreaKitchenExternal Location
Where is the external Location?

Desired Start Date?

Start Time?
—Please choose an option—12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM

End Time?
—Please choose an option—12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM

Frequency?
One-timeDailyWeeklyMonthlyQuarterlyOther
Other Frequency?

Duration of Program?

Resources Required From ArtiFactory:
Board Participation? YesNo
Materials?
Equipment? TablesChairsLights (Life Drawing)Model StandEaselsMicrowaveRefrigeratorStove
Other Needs?

How will the program be funded?
FeeDonationGrantRentalNo Revenue
Fee Amount?
Will the presenter be paid?YesNo
In what form?
Grant Source?