Sign Up for Loft Residencies
Name of School/Organization
Your answer
What kind of organization are you?
Contact's name
Your answer
Phone number
Your answer
Email
Your answer
Title
Your answer
Include the address where the residency will take place.
Your answer
Describe desired class (250 words or less):
Your answer
Number of expected participants:
Your answer
Desired number of classes:
Your answer
Desired start date (please note, new residencies take six weeks to plan):
Your answer
Preferred days and times for residency:
Your answer
Do you have existing program funding?
Are you willing to recruit and register participants?
Are you interested in using classroom space at the Loft?
Are you hoping the Loft can assist you in obtaining funding? If yes, please explain:
Your answer
Any other additional info:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The Loft Literary Center. Report Abuse - Terms of Service - Additional Terms