Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. This form should only take about 5 to 10 minutes, and we'd like you to be thoughtful in your responses. Instructions Thank you for your commitment to helping change the lives of youth! Please take some time to thoughtfully fill out this form to help our program improve. Your responses are due within a week of the workshop. Your check will be available on First Friday for any completed evaluations submitted. Feel free to send a message if you have any questions or need assistance completing the form. Thank you again for being awesome! Personal Information Name *FirstLastLayoutPoet Name (If different from legal name)Phone Number *Email *AddressOnly if your information has changed, so we can update our records and/or your W-9! Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBio update?What's your preferred way to be contacted? Please indicate all that work for you.PhoneEmailTextHow would you like to get your check?Monthly checks are available on First Friday for the preceding month. If you're picking up the check, please call the office to make sure someone is there! 303.837.1550 If you do pick it up in person, please wear a mask and sanitize. Do not come into the office at all if you have any cold symptoms or a temperature.MailedWill pick up Workshop Information Date of the Workshop *Type of Workshop *Please indicate if the workshop was virtual or in person.VirtualIn PersonHybridName of Partnering Agency *What was the content/theme of workshop? *How well did the youth seem to respond to your poetry? *This is not at all a reflection of the quality of your poetry by any means, but it's helpful for us to know if the young people were distracted or seemed bored in general or were struggling with behavioral issues.What was the high point of the workshop for you?What aspect of the workshop do you feel could have been handled differently? * AfA Program Suggestions Would you recommend any improvements to the Phoenix Rising program? *Please describe your interaction with the AfA coordinator in terms of preparation, planning and ongoing support. *This would be the point of contact for workshop opportunities, workshop scheduling, and communication beforehand, which isn't always the facilitator.Was your interaction with both AfA facilitators at the workshop a positive one? Why/why not? *Additional notes, observations, anecdotes, stories, etc.These are immensely helpful for us to see our workshops through your eyes. We also may want to use what you say in our trainings, as testimonials on our website, or in reports for grant-funded workshops.Would you be interested in volunteering to help with youth events/activities?Example: First Friday, youth presentations, etc. Assist youth on First FridayGive presentations about the programTrain to facilitate workshopsPerform at eventsTherCan you think of any poets who might be interested in becoming a guest poet/artist with AfA?If so, please provide names and any contact information you have.Thank you! You have completed the guest artist eval! Once this form is submitted, it will be on record for this month’s pay period. Checks are cut on the First Friday of every month (not the 1st of the month). Submit
