Playmaker Partner Inquiry Form

Thank you for your interest in the Life is Good Playmaker Project. Our learning experiences are designed primarily for schools and organizations that work with children ages 0-10 and we welcome cohorts of at least 40 staff members for our 90 minute & 3 hour in person workshops, and a minimum of 20 participants for our Playmaker University program. What we offer is not a curriculum or program to “add” to your already full plates. We offer a framework to enhance your existing priorities and increase the social and emotional wellness of both kids and staff. All while having a whole lot of fun. For information about our program and pricing click here.

Please fill out this inquiry form so we can learn more about your organization, the children and families you serve, and how we can best support your work with our services.

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* 1. Please provide contact details for you and your organization.

Your First and Last Name

Organization Name

Organization Address

Organization City/Town

Organization State/Province

Organization ZIP/Postal Code

Your Job Title

Your Email Address

Your Phone Number

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* 2. Staff Size

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* 3. Number of Children served annually

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* 4. Have you previously attended a Playmaker workshop?

Yes

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* 5. How'd you hear about us?

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* 6. Which best describes your organization?

Early Education

Education

Enrichment, After School Programming, or Camps

Behavioral Health

Medical

Business

Other (please specify)

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* 7. How many participants are you hoping to provide this training for?

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* 8. Which workshop are you interested in?

60-90 Minute Keynote In-Person

60-90 Minute Keynote Virtual

90 Minute Workshop Virtual

3-Hour Workshop In-Person

Playmaker University- 1 or 2-Day Retreat In-Person with additional online coursework

Other (please specify)

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* 9. Do you have a date in mind for this workshop?

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* 10. Do you have a budget you're looking to stay within for this workshop?

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* 11. Has your organization already secured outside grant funding for this training?

Yes, which should cover all of the training.

Yes, which should cover some of the training.

We are in the process of applying for outside funding.

No, we were not able to secure outside funding for this training.

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* 12. We have a limited amount of funding we are able to provide for programs serving children and communities experiencing a high level of ACE's and are interested in participating in our Playmaker University Certification Program. Will you be seeking a Playmaker University Partner Scholarship?

Yes

Unsure at this time

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* 13. Does your school or organization serve any of the following populations?

	None of the children in our care match that description	Some of the children in our care fit this description	About half of the children in our care fit this description	Many of the children in our care fit this description	Most of the children in my care fit this description	I do not know, or do not wish to answer.
Children affected by the opioid crisis	Children affected by the opioid crisis None of the children in our care match that description	Children affected by the opioid crisis Some of the children in our care fit this description	Children affected by the opioid crisis About half of the children in our care fit this description	Children affected by the opioid crisis Many of the children in our care fit this description	Children affected by the opioid crisis Most of the children in my care fit this description	Children affected by the opioid crisis I do not know, or do not wish to answer.
Children living in temporary housing and/or removed from their home	Children living in temporary housing and/or removed from their home None of the children in our care match that description	Children living in temporary housing and/or removed from their home Some of the children in our care fit this description	Children living in temporary housing and/or removed from their home About half of the children in our care fit this description	Children living in temporary housing and/or removed from their home Many of the children in our care fit this description	Children living in temporary housing and/or removed from their home Most of the children in my care fit this description	Children living in temporary housing and/or removed from their home I do not know, or do not wish to answer.
Children living at/or below the poverty line	Children living at/or below the poverty line None of the children in our care match that description	Children living at/or below the poverty line Some of the children in our care fit this description	Children living at/or below the poverty line About half of the children in our care fit this description	Children living at/or below the poverty line Many of the children in our care fit this description	Children living at/or below the poverty line Most of the children in my care fit this description	Children living at/or below the poverty line I do not know, or do not wish to answer.
Children who have experienced trauma	Children who have experienced trauma None of the children in our care match that description	Children who have experienced trauma Some of the children in our care fit this description	Children who have experienced trauma About half of the children in our care fit this description	Children who have experienced trauma Many of the children in our care fit this description	Children who have experienced trauma Most of the children in my care fit this description	Children who have experienced trauma I do not know, or do not wish to answer.
Children who are homeless	Children who are homeless None of the children in our care match that description	Children who are homeless Some of the children in our care fit this description	Children who are homeless About half of the children in our care fit this description	Children who are homeless Many of the children in our care fit this description	Children who are homeless Most of the children in my care fit this description	Children who are homeless I do not know, or do not wish to answer.
Children who are English Language Learners	Children who are English Language Learners None of the children in our care match that description	Children who are English Language Learners Some of the children in our care fit this description	Children who are English Language Learners About half of the children in our care fit this description	Children who are English Language Learners Many of the children in our care fit this description	Children who are English Language Learners Most of the children in my care fit this description	Children who are English Language Learners I do not know, or do not wish to answer.

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* 14. Please answer this question to the best of your ability. What is the approximate make up of your staff by gender. Information from this question helps us as we apply for grants to support the work we do.

	None of our staff match this description	Some of our staff match this description	About Half of our staff match this description	Many of our staff match this description	Almost all of our staff match this description	N/A
Male	Male None of our staff match this description	Male Some of our staff match this description	Male About Half of our staff match this description	Male Many of our staff match this description	Male Almost all of our staff match this description	Male N/A
Female	Female None of our staff match this description	Female Some of our staff match this description	Female About Half of our staff match this description	Female Many of our staff match this description	Female Almost all of our staff match this description	Female N/A
Gender Non-Conforming	Gender Non-Conforming None of our staff match this description	Gender Non-Conforming Some of our staff match this description	Gender Non-Conforming About Half of our staff match this description	Gender Non-Conforming Many of our staff match this description	Gender Non-Conforming Almost all of our staff match this description	Gender Non-Conforming N/A

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* 15. Please answer this question to the best of your ability. What is the approximate make up of your staff by age. Information from this question helps us as we apply for grants to support the work we do.

	None of our staff match this description	Some of our staff match this description	About Half of our staff match this description	Many of our staff match this description	Almost all of our staff match this description	N/A
18-24	18-24 None of our staff match this description	18-24 Some of our staff match this description	18-24 About Half of our staff match this description	18-24 Many of our staff match this description	18-24 Almost all of our staff match this description	18-24 N/A
25-34	25-34 None of our staff match this description	25-34 Some of our staff match this description	25-34 About Half of our staff match this description	25-34 Many of our staff match this description	25-34 Almost all of our staff match this description	25-34 N/A
35-49	35-49 None of our staff match this description	35-49 Some of our staff match this description	35-49 About Half of our staff match this description	35-49 Many of our staff match this description	35-49 Almost all of our staff match this description	35-49 N/A
50-65	50-65 None of our staff match this description	50-65 Some of our staff match this description	50-65 About Half of our staff match this description	50-65 Many of our staff match this description	50-65 Almost all of our staff match this description	50-65 N/A
65+	65+ None of our staff match this description	65+ Some of our staff match this description	65+ About Half of our staff match this description	65+ Many of our staff match this description	65+ Almost all of our staff match this description	65+ N/A

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* 16. Please describe your reasons for wanting to partner with Life is Good Playmaker Project and how you are looking for our program to support your staff?

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* 1. Please provide contact details for you and your organization.

Question Title

* 2. Staff Size

Question Title

* 3. Number of Children served annually

Question Title

* 4. Have you previously attended a Playmaker workshop?

Question Title

* 5. How'd you hear about us?

Question Title

* 6. Which best describes your organization?

Question Title

* 7. How many participants are you hoping to provide this training for?

Question Title

* 8. Which workshop are you interested in?

Question Title

* 9. Do you have a date in mind for this workshop?

Question Title

* 10. Do you have a budget you're looking to stay within for this workshop?

Question Title

* 11. Has your organization already secured outside grant funding for this training?

Question Title

* 12. We have a limited amount of funding we are able to provide for programs serving children and communities experiencing a high level of ACE's and are interested in participating in our Playmaker University Certification Program. Will you be seeking a Playmaker University Partner Scholarship?

Question Title

* 13. Does your school or organization serve any of the following populations?

Question Title

* 14. Please answer this question to the best of your ability. What is the approximate make up of your staff by gender. Information from this question helps us as we apply for grants to support the work we do.

Question Title

* 15. Please answer this question to the best of your ability. What is the approximate make up of your staff by age. Information from this question helps us as we apply for grants to support the work we do.

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* 16. Please describe your reasons for wanting to partner with Life is Good Playmaker Project and how you are looking for our program to support your staff?

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* 17. Anything else you think would be helpful for us to know?