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Storybridge Application (Senior Participant)
We are so grateful for your interest in participating in the Storybridge Project through Bridge the Generations! Please take some time to complete the following questions. Once you have submitted your responses, we will begin searching for an artist with whom to pair you. Again, thank you for your time and interest. If you have any questions, please contact Susan Hebbel at susan@bridgethegenerations.com.
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Senior's Name *
Preferred Email Contact (for Zoom meetings) *
Senior's Phone Number (or best contact number): *
In which time zone are you located? *
Name of Senior Center/Residence *
Name of Staff Contact *
Email for Staff Contact *
Phone Number for Staff Contact *
What days/times are you (the senior) most available? (You may select multiple. This will be used to pair you with an artist for your weekly calls.) *
Required
What days/times are you (the staff contact) most available? (You may select multiple. This will be used to pair your senior with an artist for your weekly calls.) *
Required
Why would you like to participate in the Storybridge Project? *
Is there anything else you would like us to know about you? Please share here.
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