Age & Aging Workshop Application - The Remember Project

New cohorts forming now in Wisconsin. The application deadline is January 7, 2022.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State Zip
Organization (where you work or volunteer)*
Your roles at that organization*
What draws you to this topic?*
What successes and/or challenges have you seen in arts programs for older adults?*
What questions do you have?*
Preference for Time of Day*
- AM session time
- PM session time
- Either session time is okay
Comments
This field is for validation purposes and should be left unchanged.

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