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Intake Form - Program Fee for Service
The purpose of this form is to learn more about your interest in Wide Angle Youth Media's (WAYM) Fee for Service programming. It is essential that WAYM understands:
The project, workshop, or partnership you are looking for with WAYM's education team
The timeline for your project
Your budget, or what funding sources you are looking to leverage
How you align to our mission and vision for empowering youth in Baltimore
Thank you for taking the time to provide us with details about the partnership you are looking to develop with WAYM. Our team will review applications and will respond no later than two weeks of your submission.
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* Indicates required question
Name of Business/Organization/School
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Your answer
Organization Contact Person
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Your answer
Contact email
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Your answer
Contact Phone Number
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Your answer
Business/Organization/School Address
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Your answer
Website
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Your answer
What is your Mission Statement?
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Your answer
Please explain the background of your organization and/or the proposed partnership.
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Your answer
What kind of service are you looking for
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Maker Space Development
Media Arts Based Professional Development for Teachers
Youth Media Project (WAYM guided Media Project with your program youth)
School Based Art Teacher Residency for Middle and High School Students
Youth-Centered Media Arts Programming
Youth-Centered Professional Development Workshops
Required
What type of programming are you interested in?
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Virtual only
Hybrid (both virtual and in-person)
In-person only
Is there a proposed timeline for this partnership/event? When would you want us to start working together.
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Your answer
What goals or outcomes do you want this partnership to achieve?
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Your answer
Who will Wide Angle Youth Media instructors be working with? (e.g. program youth, staff, community members)
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Your answer
Would a staff member from your organization be working with our education team for this workshop? How so?
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Your answer
What is your budget range for this protect or what funding sources are you looking at?
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Your answer
If you're hoping for a youth-centered media project can you please share details about the project?
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What medium do you want the project to be (photo, video, graphic design)? How long or many photos do you want youth to produce?
Your answer
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