Survey for Potential Experience/Arts Participants
RequiredRequired Question(s)
 We are very excited to let you know that Grafton County Senior Citizens Council and the Arts Alliance of Northern New Hampshire have received a second year of funding from Aroha Philanthropies through their Vitality Arts program. Once again we'll be putting together a series of eight-week courses in the arts for adults 55 and older. These courses will take place in the Littleton, Lebanon, Haverhill, and Plymouth areas -- and perhaps also in Lincoln and Canaan. They will happen at GCSCC Senior Centers and possibly also at local cultural venues. They will be available to participants on a donation-only basis: no fee will be charged, although donations will be gladly accepted.

Could you please help us identify YOUR top interests as we plan for a very exciting year ahead?  We expect to repeat some courses and to offer some new ones.

You can read more about Experience/Arts here, and about potential course offerings here.
 
Thanks so much!
 
Required 1.

Please tell us which area is closest for you:

Littleton (Littleton Area Senior Center or local partner sites)
Lebanon (Upper Valley Senior Center or local partner sites)
Haverhill (Horse Meadow Senior Center)
Plymouth (Plymouth Regional Senior Center or local partner sites)
Lincoln (Linwood Senior Center)
Canaan (Mascoma Area Senior Center)
  • Comment:

  • 500 characters left.
Required 2.
Please indicate the three courses you are most interested in taking. 
Gift of story (story-telling, writing, gathering)
Creative movement
Choral singing
Writing & exploring poetry
Working with Clay
Photographing Nature
Painting outdoors
Rustic Woodworking
Play the Ukulele
Environmental Art
Create a Community Mural
Creating Comics
Other  
  • Comment:

  • 500 characters left.
3.

Do you have ideas for one or more other courses you'd like to take? Please list them here. All suggestions welcome!  

 

350 characters left.
4.

Might you be interested in volunteering to help with the program? Any particular volunteer jobs you'd be interested in (e.g., helping with promotion, assisting the course instructor, helping with set-up and logistics)? 

Yes
Mabye
  • Comment:

  • 500 characters left.
5.
Will you need bus transportation to attend an eight-week course at one of the locations above? 
Yes
No
6.
Please enter the information indicated below -- this question is optional!

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

We appreciate your input and look forward to your participation in Experience/Arts!