ArtiFactory Programming First Name Last Name Your email address Organization? Title of Program ClassWorkshopDevelopmentExhibitCommunity EngagementRehearsalOther Type of Event? PublicPrivate Promotion? NoneWebsiteSocial MediaEmail Description of Program Reason this program is important to do? How Does It Further Our Mission? Estimate of Community Members Impacted? Location? Main HallStageGalleryStudio Common AreaKitchenExternal Location Where is the external Location? Frequency? One-timeDailyWeeklyMonthlyQuarterlyOther Other Frequency? Duration of Program? Desired Start Date? Start Time? —Please choose an option—12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Desired End Date? End Time? —Please choose an option—12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Resources Required From ArtiFactory: Board Participation? YesNo Materials? Equipment? TablesChairsLightsModel StandEasels Other Needs? How Will The Program Be Funded? FeeDonationGrantRentalNo Revenue Fee Amount? Grant Source?