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* 1. Full Name:

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* 2. Preferred name (Nick Name):

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* 3. Contact Information:

Please answer the following questions. Use as much space as you wish. The deadline is midnight on Monday, June 30, 2014.

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* 4. Tell us about yourself. Describe your current work and your personal and professional goals for the next 5 years.

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* 5. If you have previous experience working in community or organizational settings, describe that experience.

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* 6. What is your relationship to the Cherokee neighborhood? For example, do you live or work there?

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* 7. Why do you want to participate in the CAT Institute? What are your expectations? What are your goals? Any reservations?

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* 8. How do you feel the arts or culturally-based programs can impact communities? How can communities impact the arts?

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* 9. CAT is centered on the belief that art has the power to be an agent for positive social change. How do you define positive social change? How do you believe social change happens?

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* 10. How do you feel this arts-based community training supporting collaborative work between different professions, experiences, and roles can impact your work?

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* 11. At the CAT Institute, we are committed to building a community of fellows with diverse talents, experiences, opinions, and backgrounds. What would you, as an individual, bring to this 2014 class?

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* 12. Please tell us about a time you learned something about yourself from someone different from you.

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* 13. How did you learn about the CAT Institute?

Please email lisa.harper.chang@stlrac.org with a copy of your resume, as well as the URL of your website, if you have one.

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* 14. NOMINEES COMMITMENT:
I understand the 2014 Cherokee Neighborhood CAT Institute involves attending all of the sessions on the following dates as well as participating in up to 60-hours of additional reading, assignments, and team-centered field study, including site visits. I am aware that any absenteeism may result in my being dropped from the program, and if I am unable to make this time commitment, I should not apply at this time. I have also discussed the possibility of being accepted into the CAT Institute with my employer and I have my employer’s full support for this commitment.

Friday, August 1, 2014, 7 – 9 p.m. (INTRODUCTION & RECEPTION)
Saturday, August 2, 2014, 10 a.m. – 4 p.m. (Full-Day Class Session)
Every Tuesday, August 5 through November 18, 2014, 6-9 p.m. (Regular Class Session)
Saturday, September 13, 2014 10 a.m. – 4 p.m. (Full-Day Class Session)

DEADLINE: Midnight on Monday, June 30, 2014.
Complete this survey and send a CV or a resumé, as well as the URL of your website, if applicable to: Lisa Harper Chang, Director CAT Institute, Regional Arts Commission, 6128 Delmar Blvd., St. Louis, MO 63112 OR email as an attachment to: lisa.harper.chang@stlrac.org OR fax: 314/863-6932.
For more information, see the CAT Institute section of www.art-stl.com

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