Exhibit on the GO | School Interest Form

Thank you for showing interest in the Exhibit on the Go program! After you have answered the questions below we will contact you with the dates that we can accommodate. The Art Center can not wait to get this art exhibition to YOUR school!

Please complete the form below

Name *

Name

First Name

Last Name

Email Address *

School *

Grade Level

How many classes are in the grade level?

Are comfortable being the primary contact with The Art Center for this grade level? If not please give the contact information of the primary contact.

Please list three possible dates for the "Exhibit on the Go" to visit your school. (exhibit dates must fall between October 9th 2017 - May 30th 2018)

A condition of this grant-funded art education program is that teachers and students will take a short evaluation after the exhibit. Are you willing to take the evaluation and help Art Center staff administer it to you students? *

Yes

No

You can expect to hear back from The Art Center within two weeks after submitting this form. If you have any further questions or concerns feel free to write them below. (Not required)