| Your Name |
| Your Email |
| Organization |
| Age of participants; e.g.: elementary, middle, high school, adult, special population (please specify) |
| Length of workshop; e.g.: one day, two weeks, long term (one month or more) |
| Address |
| Describe your vision, what would you like to see happen in this workshop; e.g.: individual projects, collaborative quilt, creative writing infused in workshop, fiber art only, writing only. |
| Completing this form is the first step. Information collected here will help you prepare your workshop and give me an indication of your needs. My area of expertise is writing and fiber art, fourth grade through adult and some special populations. |
| Phone |
| Approximate number of participants |
| Projected date of workshop |
| Be sure to review Artist's Statement, Course Overviews and info about funding HERE |