Residency Request Form Education Residency Inquiry Form Your Name* First Last Your Title/Role at this School/Institution*Primary Onsite Contact Name (If not you)Email Address* Phone Number (include area code)*School/Institution Name*Zip Code of School*Select Your School Type*CPSPrivateCharterOtherCCT offers a limited amount of fully-subsidized residencies to Chicago Public Schools. Please select the payment type that is needed for your school.*Fully subsidized (free for your school)At-cost (app. $1600 for 8 sessions)Sliding-scale depending on needWould you like an In-School or After-School Residency?In SchoolAfterschoolIn what season would you like to have your residency?Please note: Residencies require 6 weeks notice before the start date.FallWinterSpringSummerWhat day of the week would you like to have your residency? Monday Tuesday Wednesday Thursday Friday What time of day would you like to have your residency?Check all that apply. 8:00 - 9:00am 9:00 - 10:00am 10:00 - 11:00am 11:00 - 12:00pm 12:00 - 1:00pm 1:00 - 2:00pm 2:00 - 3:00pm 3:00 - 4:00pm 4:00 - 5:00pm What type of class content is your school/institution interested in?*Please note: R.O.A.R. and Red Kite are only available as In-School residencies.Drama/ActingImprovMusical TheatreMovement/DanceDIY Theatre: Performance and Stage DesignR.O.A.R. (Residencies of Arts and Resilience)Red Kite Drama Time (for self-contained/cluster classrooms)What student population is this residency for?CCT trains our teaching artists in access and inclusion best practices, which are implemented in all classrooms, regardless of student population. Red Kite residencies offer more specialized lessons and experiences for cluster classrooms. Gen Ed (Inclusive of all abilities) Cluster/Self-contained classrooms High percentage of English Language Learners Other What grade(s) is this residency for?If this residency is for multiple classrooms, how many classrooms is this residency for?How many students in one class/classroom is this residency for?Please tell us why you are interested in bringing a CCT Residency to your students.Anything else?CAPTCHA