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Run: Intergenerational Program Planning Form

Plan a resident-and-student intergenerational event with one form that captures goals, participants, accessibility needs, logistics, consent, and follow-up. ...

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Program Overview

Program title (required)

Preferred program date (required)

Preferred start time (required)

Estimated duration (minutes) (required)

Program goal (required)

Briefly describe the purpose of the event and what success looks like.

Program type (required)

Participants and Partners

Estimated number of resident participants (required)

Estimated number of students (required)

Student age group (required)

School or partner organization name (required)

Partner contact email (required)

Partner contact phone

Activity Design and Accessibility

Activity format (required)

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 (required)

Supervision plan (required)

Describe staff coverage, volunteer support, and any student supervision expectations.

Transportation needed (required)

Transportation details

Food or refreshments planned (required)

Food safety, allergy, or dietary notes

Consent, Communication, and Follow-Up

PII and consent acknowledgement (required)

Do not include resident or student personal details unless they are needed for approved planning or accommodations.

Yes No N/A

Will photos or video be taken? (required)

Media release or communication notes

Follow-up owner (required)

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.

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Email (required)

Your name (optional)

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