SAGE NYC: Services & Advocacy for Gay, Lesbian, Bisexual & Transgender Elders
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Programming Proposal Form


Thank you for your interest in working with SAGE (Services and Advocacy for GLBT Elders)! As the nation's oldest and largest organization dedicated to improving the lives of LGBT older adults, SAGE is committed to providing our participants with the highest quality programming. Our goal is to ensure that all adults are able to age actively and healthfully in their own communities.

First Name* Last Name*
 
Organization Name (if applicable)
 
Street Address Line Two
 
City State Zip
 
Email* Phone*
 
Please briefly describe the program you propose leading at SAGE*


Are you interested in providing this program on a voluntary basis?*
Yes   No

What is the goal of the program as it relates to SAGE's mission of healthy, active aging in community? What can our participants gain from attending this program?*


What are your qualifications or credentials for producing this program?*


SAGE is an organization that works with Gay, Lesbian, Bisexual and Transgender elders. What experience, if any, do you have working with the community that SAGE caters to?*


What is your ideal start date?*


What is the frequency of the program?*
One-time event
Series/recurring (how many times/for how long?)

Are there any special materials or physical space accommodations needed to produce the program?*


In which site(s) can you offer this program? Choose as many as are applicable.*
Edie Windsor SAGE Center (305 Seventh Avenue 15th Floor)
SAGE Center Brooklyn at Stonewall House (271 Myrtle Ave )
SAGE Center Harlem (220 West 143rd Street )
SAGE Center Bronx (Union Community Health Center 260 E188th St., 2nd Floor)
SAGE-GRIOT/Brooklyn (GRIOT Circle 25 Flatbush Avenue, 5th Floor)
SAGE-Pride Center of Staten Island (Pride Center of Staten Island 25 Victory Boulevard, 3rd Floor)

Please upload your resumé.* (Word or PDF only please.)

*Required field
Contact SAGE National

SAGE
305 Seventh Ave, 15th Floor
New York, NY 10001
212-741-2247 tel
212-366-1947 fax
info@sageusa.org
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