PROGRAM APPApplicants First NameApplicants Last Name Applicants Phone NumberApplicants Email AddressPrograms / Workshop NameDepartmentArt Health ( Mental or Physical )AcademicSelect the activities corresponding department Is this a part or extension of an existing program?YesNoInstructors First NameInstructors Last NameIs the instructor a WNC Employee?YesNoIs the instructor a verified WNC volunteer?YesNoDescribe Instructors QualificationIs this activity free for participants or is there a fee?Yes, this is a free activityThere is a charge or donationIs this activity open to the public or private?Yes, all are welcomeNo, this is a private groupActivity DescriptionWill supplies or equipment have to be purchased or acquired?Yes, see budget notes belowNo supplies needed or have been donated, Etc.Budget DescriptionStart DateSchedule DetailsSUBMIT
