Name
*
First Name
Last Name
Email
*
Subject
*
Where are you located?
*
Charlottesville
Albemarle County
What is your medium of art and creativity?
*
Mixed Media
Digital Media
Movement/Dance
Sculpture
Music
Painting
Exhibitions and Curation of Shows/Programs
Non-Profit or For-Profit Arts Organization or Entrepreneur
Other
If other, than what:
Do you have accessibility needs we should consider?
*
Yes
No
How would you get to the center?
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Walk
Car
Bus
Bike
Would you need assistance in paying for parking?
*
Yes
No
How often would you need access to space in the center?
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Daily
Weekly
Monthly
What days would you use the center most often?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times of day (or night) would you most often use the center?
*
Morning: 9am-12pm
Afternoon: 12pm-5pm
Evening: 5pm-10pm
For what purposes would you use the center?
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1-2 Month Private Studio
Co-working Studio Space
1 Week Semi-Private Studio Usage
Computer Lab
Education and Professional Development
What facilities, supplies, or equipment would you need? ie. recording studio, scanner, green screen, lighting kit, easels, speciality tools, etc.
*
What types of events or programs would you like to see/create at the enter?
*
What type of financial support do you need?
*
Supplies
Educational Offerings
Parking and Transportation
What type of professional development would you need?
*
What do you feel is missing within our/your creative community?
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What are the biggest barriers for you/ your community in terms of engagement and access to art or creative practices?
*
Would the use and inclusion of other languages facilitate use of the space and our services? If so, what languages?
*