The Community Arts Institute is committed to working with you to create programs that meet the unique needs of your particular school/organization. Please fill out the information below, and someone from our outreach staff will contact you to start putting together a program that will help your youth succeed.
BASIC INFORMATION

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* 1. School/Organization Name:

In our experience, the most successful residencies have 1 key Residency Coordinator as well as key administrators who support the program at the school or organization.

The Residency Coordinator is the person who will be our contact person, who will manage the schedule and supplies, and communicate with school/organizational administrators. 

The Key Administrators who support the program are those who are able to assist the residency coordinator within the capacity of their usual jobs (for example: vice-principal, principal, etc.)

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* 2. Site Residency Coordinator Name:

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* 3. Site Residency Coordinator Email:

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* 4. Site Residency Coordinator Phone Number:

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* 5. Site Residency Coordinator preferred method of contact

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* 6. Best time to reach Site Residency Coordinator? (Please be aware, our normal office hours are 9am-5pm Monday – Saturday)

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* 7. Key Administrators Supporting this Program

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* 8. Have you hosted a residency before?

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* 9. How did you hear about us?

 
 20% of survey complete.

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