inStill Request - Clyfford Still

inStill Live is a live, virtual program facilitated by our talented educators via video conferencing. As with inStill at the Museum, this experience is hands-on, interactive, and allows students to be in control of their learning.

Please note: your form is not submitted until you reach the “request received” page.

Contact Information
Name*
First Last
Day-of Contact Cell Phone Number*
Email*
School Name*
School District*
School Address*
Street Address Address Line 2 City State Zip Code
Does your school receive Title 1 funding?*
- Yes
- No
Group Information
Students' Grade(s)*
Department/Subject*
Number of Students*
Do any of your students primarily speak a language other than English? If so, which language(s)?*
Scheduling
Art in Times of Change is designed to be varying lengths depending on schools’ schedules. Please choose how long you’d like the lesson to be:*
- 30 minutes
- 45 minutes
- 60 minutes
- Other (I have less than 30 minutes, more than 60 minutes, or I’d like to discuss a different option)
Please list three different dates and times, in order of preference.

inStill Live is available Monday-Friday during school hours.
First Preference
Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM
Second Preference
Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM
Third Preference
Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM

InStill Live Request

Contact Information

Group Information

Scheduling

Third Preference