IPM Poetry Partner Application

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Please tell us about yourself and your interest in becoming a poetry partner of IPM. This application is intended to be a brief overview as a conversation starter. John will be in touch to further discuss your proposal.

Name

Phone Number

Address

What has been your experience with poetic medicine and IPM?

Are you currently offering a poetry program in your community? If so, briefly describe your program or offer a proposal.

Please describe the people you intend to serve with your program.

Please share how your work is healing and what the word "healing" means to you?

How does your work enhances a sense of community?

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