Educational Workshop Partner Interview Form
Please complete this form to help us assess your suitability as a partner for our educational workshops.
Organization or Individual Name
*
Contact Person's Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Organization
*
Please Select
School
Non-profit Organization
Business/Corporate
Individual Educator
Other
Please describe your experience with organizing or hosting educational workshops.
*
What topics or subjects are you most interested in for workshop collaboration?
*
STEM (Science, Technology, Engineering, Math)
Arts & Humanities
Career & Professional Development
Youth Empowerment
Community Engagement
Other
Please rate your organization's capacity to provide the following resources for a workshop:
*
Rows
Venue Space
Technical Equipment
Staff Support
Excellent
1
2
3
Good
4
5
6
Fair
7
8
9
Poor
10
11
12
What are your primary goals for partnering in educational workshops?
*
Please provide a reference or example of a previous partnership or workshop (include contact information if possible).
How did you hear about our educational workshop partnership opportunity?
Please Select
Website
Social Media
Referral
Event/Conference
Other
Submit Application
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