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Ballet Hispánico Community Arts Partnerships - General Inquiry Form
Today's Date
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Where are you contacting us from?
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School
Organization/Company
Name of School
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Name of Organization/Company
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Primary Contact First Name
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Primary Contact Last Name
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Job Title
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E-mail Address
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Phone Number
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Which of our Community Programs are you interested in today?
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In-School Residencies (K-12)
After-School Residencies (K-12)
In-person Assemblies
Virtual Assemblies
Dance Workshops
Other
Other
Are you a Title 1 School?
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Yes
No
Street Address (Organization)
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City
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State
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Zip Code
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Borough:
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Manhattan
Bronx
Queens
Brooklyn
Staten Island
Other
Website
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Where would the program take place?
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Gym/Auditorium/Gymnatorium
Classroom
Dance Studio
Outdoor Venue
Conference Room
Other, please describe the venue
Other, please describe the venue
Potential date of service (or start date, if applicable):
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Preferred Day(s) of the Week
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Preferred Time(s) of the Day
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Number of Participants
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How many sessions (for residencies, master classes, workshops)?
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How many groups?
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Number of participants per group
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Grades
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Level of participants
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School Principal First Name
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School Principal Last Name
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School Principal's email
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Council Member First Name
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Council Member Last Name
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Council Member District:
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School District:
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Please upload your School's General Response Protocol and Emergency Plan
Please share any additional comments:
How did you hear about Ballet Hispánico's Community Programs? (Check ALL that apply)
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Ballet Hispanico Newsletter or Email
Mail Promotion
Facebook
Twitter
Instagram
Dance/NYC
NYC Department of Education MTAC
Colleague or Friend
Other
Other