Part-inquiry-form-alone First name: * Last name: Title: Employer: Email: * Company: Work Phone: Mobile Phone: Street: City: ZIP: State: Name of Site: Country: Main Phone: Main Fax: Website: Address: City: State: Zip: Organization Type: CorporationSmall BusinessMedia / PressFoundationCorporate FoundationPublic AgencyPublic SchoolPrivate SchoolNonprofitCultural InstitutionUniversity/Research Institute Neighborhood: Beacon HillBrightonBurienCapitol HillCentral DistrictCrown HillDes MoinesEdmondsFirst HillFremontGreenwoodLake CityLaurelhurstLynnwoodMadronaMercer IslandNorthgateQueen AnneRainier ValleyRentonSand PointSouth ParkTukwilaUniversity DistrictWallingfordWest SeattleWhidbey IslandWhite CenterOther Percentage of youth receiving free lunch: Percentage female: Percentage male: Percentage American Indian / Alaskan Native: Percentage Asian: Percentage Black: Percentage Hispanic: Percentage White: What art form(s) are you most interested in providing at this site?: How many classes are you interested in hosting?: What grades will be served?: How will Arts Corps benefit your organization's mission/goals?: What type of program(s) are you interested in?: After-school programIn-school residencyWorkshop How many students do you expect to enroll?: Do you have a dedicated class meeting space?: Do you have dedicated storage space for art supplies?: If you want a digital media class, do you have a media lab supported by technical staff?: What is your student recruitment plan?: How many site staff are available to support the class?: How did you hear about Arts Corps?: * These fields are required.