Residencies & Workshop Request

Filling out the form below will give us the information we need to send your school an official proposal. Filing out this form does NOT obligate your school to accept the proposal provided by CTC.

Name*

First Last

School/Organization Name*

School District

Address

Street Address City State ZIP Code

Phone*

Email*

Classroom Information

Age/Grade Level*

Number of Classrooms Participating*

Number of students per classroom

Are you interested in an in-person or virtual experience?*

Virtual
In-person at my school
In-person at a different location

Which platforms are you currently using or have available for virtual classes?

Zoom
Flipgrid
Microsoft Teams
Google Classroom
Other

Tell us more about what technology platforms you have available for your classroom:

Tell us more about where the experience will take place:

Experience

Check which experience you are interested in scheduling*

Creative Play recommended for Ages 2-6
Early Bridges recommended for Kindergarten - Grade 2
Step into The Story Preschool - Grade 1
Neighborhood Bridges recommended for Grades 2-12
Create Your Own experience

Which theme would you like?

Tell us more about the goals you are hoping to accomplish:

Scheduling

If scheduling more than one classroom, each classroom will be scheduled an individual time with the same teaching artist.

Tell us about your scheduling needs

ideal dates/times, conflicts, etc

How often would you like to schedule sessions?

Time Availability

Please list the times of day your class is available to meet in the boxes below. You can add more than one time-frame per day by clicking the "+" on the right-hand side. If you are unavailable on a day, please leave the box blank or enter "N/A"

Monday	Tuesday	Wednesday	Thursday	Friday

Tell us more about your calendar that may impact scheduling:

(school break times, days off, testing schedules, etc)

How many teaching hours would you like to schedule?*

These hours can be fulfilled based on your schedule and needs. Most residencies meet 1-2 times per week.

3 hours of instruction | $390 per classroom
4 hours of instruction | $520 per classroom
5 hours of instruction | $650 per classroom
6 hours of instruction | $750 per classroom
8 hours of instruction | $950 per classroom
10 hours of instruction | $1150 per classroom
Other

Tell us more!*

Please ensure you receive a confirmation of this form submitting via email. If you do not receive that, please contact schools@childrenstheatre.org.

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Name

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Classroom Information

Experience

Scheduling