Community & Special Population Programs and Sites

By completing this survey as accurately as possible, you are contributing critical information about the importance of the arts and the significant value it has as a learning experience for all. This information is of vital interest to the Pennsylvania Council on the Arts (PCA) and your PCA regional Partner. Please take the time to complete fully and return promptly.

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* 1. Date

Date

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* 2. Name:

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* 3. Phone #:

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* 4. Email:

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* 5. Host Site:

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* 6. Type of organization:

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* 7. Host Site Address:

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* 8. Art Form:

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* 9. Dates of Residency:

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* 10. Number of Residency Days:

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* 11. Number of Participant Groups:

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* 12. Total Number of Participants:

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* 13. Total Number of Individuals Served:
(include: residency groups participants, other center/program individuals, family members, center/program staff, community members)

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* 14. PCA Regional AIE Partner:

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* 15. Please use the scale below to rate the following statements.

  Strongly Agree Agree Somewhat Agree Disagree Strongly Disagree N/A
Staff and/or administrators collaborated with me to plan residency goals and objectives.
I consulted with staff and/or administrators about residency lesson content.
Adequate instructional space was provided for the residency activities.
Site administrators expressed support for the program activities.
Site staff expressed support for the program activities.
Site staff were in attendance during residency activities.
Site staff assisted participants as necessary.
Staff and/or administrators assisted in defining and planning residency goals and objectives.
Information about participants’ ability to engage in residency activities was provided by staff/administrators.
I provided activities for participants to engage socially and interpersonally with one another during the residency.
I provided opportunities for participants to engage interpersonally with me during the residency.
I provided activities for participants to strengthen their motor skills and/or dexterity.
I presented opportunities for participants to strengthen their cognitive skills through residency activities.
I presented opportunities for participants to strengthen their verbal skills through residency activities.
I presented opportunities for participants to develop the ability to work together cooperatively.
Participants exhibited emotional well-being during the residency sessions.
The AIR program provided participants opportunities to discover new talents.
Engagement in the AIR program increased participants’ enthusiasm for the arts.
Participants in the AIR program demonstrated collaboration skills.
Participants in the AIR program demonstrated respect for each other.
Participants gained skills that they will be able to use in other situations/environments.
Participants were actively engaged during the residency art making activities.
Participants exhibited focus during the art making activities.
Participants demonstrated decision-making skills during the art-making sessions.
Through engagement in all phases of the residency activities participants demonstrated ownership of their projects.
My knowledge and ability to work with community groups and special populations has increased.
I have been able to demonstrate the importance of engagement with the arts for all learners.
I helped the site staff/administration become more comfortable with the inclusion of the arts in their programming.
I have increased my level of confidence as a teaching artist in community and special population settings.
I have learned how to plan lessons to better meet the specific needs of community and special populations.
I have learned how to adapt materials to better meet the specific needs of community and special populations.
I have learned how to engage program staff in all aspects of residency delivery.
I perceive that staff and administration now see value to their clients’ participation in the planned activities of an arts residency.
My instructions to participants were clear and easy to follow.

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* 16. Additional Comments:

0 of 16 answered
 

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