SAGE: Services & Advocacy for Gay, Lesbian, Bisexual & Transgender Elders
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11.25.2014
SAGE Centers


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CyberCenter

Programming Proposal Form

First Name* Last Name*
 
Organization Name
 
Street Address Line Two
 
City State Zip
 
Email* Phone*
 
Please briefly describe what programming you propose doing at SAGE*


Briefly describe what sort of time frame is needed to produce this program?*


What are your qualifications or credentials for producing this program?*


Are you interested in providing your programming on a voluntary basis or for monetary compensation?*


SAGE is an organization that works with Gay, Lesbian, Bisexual and Transgender elders. What experience, if any, do you have working with the community that SAGE caters to?*


Are there any accommodations you will require to deliver your services (i.e. administrative assistance, materials, physical space)?*


Please elaborate on your proposal:*


Please upload your resumé.* (Word or PDF only please.)

*Required field
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February 29, 2012
March 2, 2012

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