Community Program Form – DEV AZ Nelson Atkins

Organization's Name*

Do you have an existing partnership?

Yes
No

Address*

City*

State*

ZIP*

Phone*

Staff Contact Name*

First Name Last Name

Staff Contact Title*

Staff Contact Phone*

Staff Contact Email*

What is the best way to reach you?*

Email
Telephone

The art-making space at your Center has: [check off all that apply]*

Select All
Sink
Table space (up to 15 people)
Chairs (up to 15 people)
Storage space for supplies

What would you like us to know about your art-making space? (example: it is a cafeteria or a shared space)

Which course theme do you prefer?*

Scheduling:

Community Programs classes are scheduled between 9AM and 6PM Monday – Friday. Museum visits are not scheduled on Tuesdays and Wednesdays, when the museum is closed.

Please select what type of course you are requesting:*

A single 90-minute art-making class
4-week art-making class
6-week art-making class

Start Date

Note, the start date you choose will be the day and time at which the remaining weeks of the course are scheduled, for example if you choose a 6-week course that starts on a Thursday at 1PM, the following five classes will be Thursdays at 1PM.

Session 1: Start Date - 1st Choice*

Please add your preferred start date here.

Session 1: Start Date - 2nd Choice*

Please add your second choice for a session start date here. We will try to accommodate your first choice, however due to scheduling conflicts we may need to look at your second and third choices.

Session 1: Start Date - 3rd Choice*

Please add your third choice for a session start date here. We will try to accommodate your first choice, however due to scheduling conflicts we may need to look at your second and third choices.

Would you like your last session to be held at the museum?

Yes
No

Please note, the museum is closed on Tuesdays and Wednesdays.

Submit Request

By submitting this request, I acknowledge that I have read all policies, guidelines, and procedures related to community programs at The Nelson-Atkins Museum of Art

By submitting this request, I acknowledge that I have read all policies, guidelines, and procedures related to community programs at The Nelson-Atkins Museum of Art*

I Agree

By submitting this request, I acknowledge that this is a REQUEST and NOT A CONFIRMATION

I Agree

Additional comments

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Phone

This field is for validation purposes and should be left unchanged.

ART-MAKING WORKSHOPS REQUEST FORM

Scheduling:

Start Date

Submit Request