Creative Advocacy Performance Request Intake Form Form
Name of Point Person: *
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Email Contact: *
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Phone Contact: *
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Name of Your Organization/Group:
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Describe the venue where this event will take place:
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Describe your target audience or the demographic of the attendees, including other organizations who are attending or sponsoring the event: *
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Please check which social justice issues might be relevant to your event/community: *
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Are there any specific scenes, games or TO techniques that you would like to be presented? *
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Proposed date/time: *
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Proposed length of performance: *
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What is the context for this performance?(e.g. Is this a workshop in a larger conference about criminal justice? An interactive Know Your Rights training for immigrant youth? A performance at a rally about housing & transportation?)
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What goals if any do you have for this presentation? *
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What resources are available to support this presentation? Please share what your planning has included, whether that is funding for an honorarium or travel costs, food for performers, or other support. *
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Do you have a deadline for confirming TONYC’s involvement? *
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