Flyaway Productions
GIRLFLY Summer Arts & Activism Apprenticeship
Application 2018
Full 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):
What neighborhood do you live in? (required):
Ethnicity:
Sexual Orientation:
Family Income Level:
How would you get to the program?
—Please choose an option—BUS/BARTCARWALK
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 sentences each.
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?
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