Templates › Forms › SEO page

Run: Intergenerational Program Planning Form

Plan an intergenerational program that pairs residents with school groups, scouts, or youth volunteers. Capture goals, participants, accessibility needs, saf...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Program Overview

Program name (required)

Requested date (required)

Requested start time (required)

Estimated duration (minutes) (required)

Program type (required)

Brief program summary (required)

Describe what participants will do in 2-4 sentences. Avoid collecting unnecessary personal details.

Participants and Partners

Requester name (required)

Requester role (required)

Partner organization name (required)

Partner group type (required)

Estimated number of youth participants (required)

Estimated number of resident participants (required)

Resident participation level (required)

Learning Objectives and Activity Design

Learning objectives (required)

Activity format (required)

Materials needed

List only the materials required to run the activity safely and successfully.

Will food or beverages be served? (required)

Food allergy and dietary accommodation plan

Describe how allergen labeling, ingredient review, and dietary restrictions will be handled.

Safety, Accessibility, and Supervision

Has the partner organization confirmed required background screening or youth supervision checks? (required)

Confirm any organization-specific screening, chaperone, or supervision requirements before the visit.

Planned adult-to-youth supervision ratio (required)

Accessibility needs or reasonable accommodations

Behavioral or cognitive support needs

Describe any support needs relevant to resident participation. Do not include unnecessary PII.

Has the emergency response plan been reviewed with staff and the partner group? (required)

Supervision notes

Include staffing assignments, resident escort needs, and any areas requiring restricted access.

Logistics, Consent, and Communication

Event location (required)

Is transportation needed for the partner group or residents? (required)

Transportation details

PII disclosure acknowledged (required)

I understand this form collects only the minimum necessary information to plan and approve the program, and that submitted information will be used for scheduling, safety review, and audit trail purposes.

Yes No N/A

Photo or video permission required? (required)

Communication plan

Describe how residents, staff, and the partner organization will receive updates before and after the event.

Post-Event Reflection

Was the event completed as planned?

Attendance summary

Summarize actual participation, including any significant changes from the original plan.

Resident feedback

Partner feedback

Lessons learned and improvements for next time

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Generated with MangoApps Templates — browse 250+ free