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* 1. Select one or more that aligns with your current work.

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* 2. Enter your name and contact information

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* 3. Tell us why you are interested in Creative Aging and/or your past experience working with older adults.

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* 4. If you are a Teaching Artist, please share your artistic disciplines.

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* 5. Are you interested in future trainings / webinars / workshops?

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* 6. If yes, please share the kind of training you would like to see in the future.

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* 7. Provide additional comments/suggestions about Creative Aging below.

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