WINGSPACE MEMBERSHIP APPLICATION

GENERAL GUIDELINES

Please review the Wingspace Membership Guide before beginning your application.

FORM INFORMATION CANNOT BE SAVED. Do not close the window until your submission is complete. It is recommended that you prepare your answers in a separate, savable document, then paste them into the fields below when you are ready to submit your application.

Please print a copy of the application for your records before clicking Submit.

APPLICANT INFORMATION

Name

First Name

Last Name

Pronouns (optional)

Phone

(###)

###

####

City of primary residence

Are you a past participant in the Wingspace Mentorship Program?

Primary Discipline

Are there identities you hold that would add to the diversity of perspectives, specialties, backgrounds, training, and focus within the collective? (optional)

QUESTION 1

Why are you interested in joining Wingspace? You can provide a written answer (250 words or less), link to external video, website, or a media upload.

(Question 1 Image Upload Option - please include your name in the name of the file)

FileField;MaxSize=10000;Multiple;addText=Add_your_Files;

(Question 1 Video or Audio Link Option)

http://

QUESTION 2

Please respond to one or more of the following three prompts.. You can provide a written answer (500 words or less) or a media upload. 1. Review the information about Wingspace Committees. Pick a committee you would be interested in joining and let us know what you would like to contribute to their work. 2. Review the information about our Salon Series. If you were producing a Wingspace Salon, what would it be about? Who are the guests that you would want to feature? 3. What is your personal history or interest in activism within the industry and beyond?

(Question 2 Image Upload Option - please include your name in the name of the file)

FileField;MaxSize=10000;Multiple;addText=Add_your_Files;

(Question 2 Video or Audio Link Option)

http://

QUESTION 3

Is there anything else you would like to let us know about you or relevant materials you'd like us to consider?

(Question 3 Image Upload Option - please include your name in the name of the file)

FileField;MaxSize=10000;Multiple;addText=Add_your_Files;

(Question 3 Video or Audio Link Option)

http://

QUESTION 4

How did you hear about Wingspace?

REFERENCES

Please provide one or two references. These do not need to be professional references. but rather people who can speak to your engagement with the performing arts community. Former participants in the Wingspace Mentorship Program do not need to provide references,

Reference One Name

First Name

Last Name

Reference One Position/Title/Relationship

Reference One Preferred Contact Method

If no preference is listed, then Wingspace will contact your reference via email.

Reference One Email

Reference One Phone Number

(###)

###

####

Reference Two Name

First Name

Last Name

Reference Two Position/Title/Relationship

Reference Two Preferred Contact Method

If no preference is listed, then Wingspace will contact your reference via email.

Reference Two Email

Reference Two Phone Number

(###)

###

####

FINAL STEP

You will see a confirmation screen upon submission of this application. Please print this message for your records.

AUTHORIZATION

I confirm that all of the information entered in this form is complete and accurate.

WINGSPACE MEMBERSHIP APPLICATION

GENERAL GUIDELINES

Please review the Wingspace Membership Guide before beginning your application.

Wingspace is a volunteer organization that works hard year round to bring programming to the performance industry through the lens of design, community, and activism. Please consider a tax-deductible gift that helps support our ongoing work. We thank you!

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