Intergenerational Program Planning Form

Planning form for events that pair residents with school groups in a senior living setting, capturing program goals, participants, logistics, accessibility needs, and post-event follow-up.

Program Overview

• Program title
• Preferred program date
• Preferred start time
• Estimated duration (minutes)
• Program goal
  Briefly describe the purpose of the event and what success looks like.
• Program type

Participants and Partners

• Estimated number of resident participants
• Estimated number of students
• Student age group
• School or partner organization name
• Partner contact email
• Partner contact phone

Activity Design and Accessibility

• Activity format
• Materials or supplies needed
  List any supplies, handouts, craft materials, or equipment needed for the event.
• Resident accessibility or accommodation needs
• Student accessibility or accommodation needs
• Special instructions or considerations
  Include any cultural, dietary, language, or participation considerations relevant to the event.

Safety, Supervision, and Logistics

• Event location
• Supervision plan
  Describe staff coverage, volunteer support, and any student supervision expectations.
• Transportation needed
• Transportation details
• Food or refreshments planned
• Food safety, allergy, or dietary notes

Consent, Communication, and Follow-Up

• PII and consent acknowledgement
  Do not include resident or student personal details unless they are needed for approved planning or accommodations.
• Will photos or video be taken?
• Media release or communication notes
• Follow-up owner
  Name or role of the staff member responsible for next steps.
• Next steps requested
  Use this field to note approvals, invitations, reminders, or coordination tasks needed after submission.