Hospital Application

We would love to learn more about your hospital and how our program could be a good fit!

If you are interested in bringing Seacrest Studios to your hospital, please complete the hospital application and submit per the instructions. We will review every application submitted and we will reach out to you after the evaluation process has been completed.

Please note: The application must be filled out by someone on the leadership team at the hospital or in development.

Date *

Hospital Name *

Hospital Location *

Hospital Website *

Contact Name *

Contact Email *

What is your connection to the hospital? *

How did you learn about Seacrest Studios? *

Is the children’s hospital a freestanding facility? *

How many beds are in the hospital? *

Does the hospital currently have a media center? *

If yes, please explain.

Is there space for Seacrest Studios to be built in the lobby or a highly visible location in the hospital? We need approximately 1100-1400 (or more) sq. feet to build Seacrest Studios. *

Is there currently space in your existing facility for Seacrest Studios or would this be incorporated into future construction? *

What would be your suggested location for Seacrest Studios? *

What would be your timeline for construction of Seacrest Studios? *

Does the hospital currently have an intern/volunteer program that supports the pre-existing "Child Life" programs in place? *

Additional Comments