RESIDENCIES
(schools and organizations)
ABOUT THE SCHOOL/ORGANIZATION
Name of School or Organization:
School/ Organization Phone Number:
School/ Organization Website:
Is there a budget for the residency?
Yes
No
I don't know
What is your budget?
Are you connected to STG in any way?
ABOUT CONTACTS
Lead Contact First Name:
Lead Contact Last Name:
Title:
Work Phone Number:
Email:
DAY OF EVENT CONTACT INFORMATION
Day of Contact First Name:
Day of Contact Last Name:
Title:
Email:
Work Phone Number:
Cellphone Number:
ABOUT THE RESIDENCY
What are the goals for the residency?
Is there a specific topic and/or theme?
How many students will participate?
What grade levels would participate?
K-2
3-5
6-8
9-12
Dates and times for residency:
(i.e. Mondays 9:15-10:15am)
Accessibility Needs:
Will this residency be....?
In Person
Virtual
Hybrid
Where will the residency take place?
(i.e. 4th Floor, 911 Pine St Seattle, WA 98101)
What online learning platform will you use?
(Zoom, Teams, Webex, etc.)
Will you have a host available for the entire residency?
Yes
No
Maybe
Additional Information:
Contact Information