Summer Arts & Activism Apprenticeship

    Your Name (required):

    Age (required):

    Street Address (required):

    City (required):

    State (required):

    Zip Code (required):

    Your Best Phone (required):

    Your Email (required):

    Parent/Guardian Name (required):

    His / Her Best Phone (required):

    His / Her Email (required):

    School in Fall (required):

    Grade in Fall (required):

    The following information is confidential. It will only be reviewed by the Selection Committee.

    What neighborhood do you live in? (required):

    Ethnicity:

    Sexual Orientation:

    Family Income Level:

    How would you get to the program?

    How did you hear about the Summer Arts Apprenticeship? (please check all that apply)

    FriendTeacher / CounselorFacebookFormer ParticipantYouth OrganizationOther

    If Youth Organization, which one?

    If Other, please list

    The Summer Arts Apprenticeship requires a full commitment of time and energy and a minimum of 80 hours. Can you commit to attending ALL the sessions?

    YESNO

    Is there anything that would prevent you from attending?

    ESSAY QUESTIONS:
    PLEASE ANSWER ALL of the questions in three or four sentences.

    1. What is your experience in dance or performance?

    2. What do you hope to gain from the Summer Arts & Activism Apprenticeship?

    3. What type of activism or issue are you interested in (i.e. immigration, education, health, community need, etc.)? Why is this issue important to you?