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IPM Poetry Partner Interest Form
Please tell us about yourself and your interest in becoming a poetry partner of IPM. This form is intended to be a brief overview as a conversation starter. John will be in touch to further discuss your proposal.
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Email
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Your email
Name
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Your answer
Phone Number
Your answer
Address
Your answer
Please tell us about yourself.
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Your answer
What has been your experience with poetry, poetic medicine, and IPM?
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Your answer
Are you currently offering a poetry program in your community? If so, briefly describe your program.
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Your answer
Please describe the people you intend to serve with your program.
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Your answer
Please share how your work is healing and what the word "healing" means to you?
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Your answer
How does your work enhance a sense of community?
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Your answer
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