Curriculum Creator Survey

Cracked Walnut

Curriculum Creator - Youth

* Indicates required field

Name *

First

Last

Current City/State *

Email *

Are you a person of color? (we are always seeking diversity in our programs) *

Phone Number *

Age Range *

15 to 18 19 to 25 26 to 40 41 to 60 61+

Please give us details of your experience in creating curriculum for youths (ages 5 to 18). *

Do you have experience creating or facilitating poetry workshops? *

If YES, please describe. *

What equipment do you own for events? (Check all that apply) *

Microphone(s) Mic Stand(s) Projector Ladder Laptop Truck or Van Car PA System Music Stand Bar Stool Other (fill in below)

Other Items (separate with commas) *

Any Additional Comments? *

Submit

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