One moment please...
Have you taken an Operation ART class before?
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Yes
No
I understand this class is for VA-Connected Women Veterans only.
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If you have specific questions or are unclear, please email isabella@thejoelfund.org.
Yes
No
VA Verification
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Please provide proof of VA enrollment.
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
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Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
In which county do you reside?
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Wake
Durham
Orange
Johnston
Franklin
Granville
Vance
Person
Warren
Other
I don't know
If other, provide in which county you reside.
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Emergency Contact Information
If you would like to, you may add an emergency contact to your registration. This person will be contacted by the Operation ART Program Coordinator if there is an emergency while in class.
Would you like to add an emergency contact?
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Yes
No
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Demographic Information
Please complete the demographic questions so we can understand the diversity of our class. This information is optional and does not affect your participation in the class.
What is your gender?
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Male
Female
Non-Binary
Transgender
Prefer not to state
What is your current age range?
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18 - 21
22 - 30
31 - 40
41 - 50
51 - 60
60+
Prefer not to state
What is your race / ethnicity?
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American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latinx
Native Hawaiian or Other Pacific Islander
Caucasian or White
Multiracial
Prefer not to state
Military Affiliation
Branch of Service
*
Please provide proof of VA enrollment
*
This could be a VA ID.
Class Details
How did you hear about this class?
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How often do you engage with creative expression activities?
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Infrequently (less than once a month)
Sometimes (at least once a month)
Regularly (at least once a week)
Please provide information on accommodations you may need to be successful in this class:
Media Release
Occasionally we like to post photos/videos of activities happening during TJF Operation ART Classes on social media and our website. We may photograph/video action shots of art being created. Do you agree to be photographed/videoed?
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YES
NO