Arts and Social Change

Application

Please fill out the following application form and complete all sections. The context of the workshop will be informed by your reflections. If you have any questions, please contact Therese Adams at radtlarts@gmail.com.

The deadline to apply is Sunday, May 16, 2021.

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* 1. NAME:

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* 2. Organization:

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* 3. Mailing Address:

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* 4. Phone number:

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* 5. Email:

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* 6. Do you identify with any of the following roles?

Artist

Teacher

Art Administrator

Philanthropist

Other (please specify)

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* 7. Type of art you do: (theatre, dance, visual arts, animation, cartoons, literature, film etc.)

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* 8. Action/Project Ideas
Participants are asked to choose artwork or a project you are currently working on, or a piece you would like to develop during the course of the workshop. Please write a short description of the artwork or project you would like to use during the workshop.

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* 9. What do you stand for - the universal values you live by?

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* 10. What are the specific problems that need to be solved locally and or worldwide?

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* 11. To solve these problems, what needs to shift or change?

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* 12. Imagine for a moment that you have shown your art work, project, piece, or performance and you inspire people to act in their communities; and this is relevant worldwide. What would be possible for humanity then?

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* 13. How did you hear about this workshop?

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* 14. You will be able to attend in person in Santa Cruz County or via Zoom. Please indicate how you will be attending the workshop. (Please note: we will be following all COVID safety guidelines for those who choose to attend in person.)

In-person

On Zoom

Comment (optional)

Arts and Social Change

Application

Question Title

* 1. NAME:

Question Title

* 2. Organization:

Question Title

* 3. Mailing Address:

Question Title

* 4. Phone number:

Question Title

* 5. Email:

Question Title

* 6. Do you identify with any of the following roles?

Question Title

* 7. Type of art you do: (theatre, dance, visual arts, animation, cartoons, literature, film etc.)

Question Title

* 8. Action/Project IdeasParticipants are asked to choose artwork or a project you are currently working on, or a piece you would like to develop during the course of the workshop. Please write a short description of the artwork or project you would like to use during the workshop.

Question Title

* 9. What do you stand for - the universal values you live by?

Question Title

* 10. What are the specific problems that need to be solved locally and or worldwide?

Question Title

* 11. To solve these problems, what needs to shift or change?

Question Title

* 12. Imagine for a moment that you have shown your art work, project, piece, or performance and you inspire people to act in their communities; and this is relevant worldwide. What would be possible for humanity then?­­

Question Title

* 13. How did you hear about this workshop?

Question Title

* 14. You will be able to attend in person in Santa Cruz County or via Zoom. Please indicate how you will be attending the workshop. (Please note: we will be following all COVID safety guidelines for those who choose to attend in person.)

* 8. Action/Project Ideas
Participants are asked to choose artwork or a project you are currently working on, or a piece you would like to develop during the course of the workshop. Please write a short description of the artwork or project you would like to use during the workshop.

* 12. Imagine for a moment that you have shown your art work, project, piece, or performance and you inspire people to act in their communities; and this is relevant worldwide. What would be possible for humanity then?