2021 Impact Artist Fellowship Submissions
Apply to be a 2021 Impact Artist Fellow with the Human Impacts Institute. Submissions are due by May 1st, 2021 at 11:59PM.  Only NYC-based artists are eligible.  
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Phone *
including country code, as applicable
Mailing Address *
Website *
Where in NYC are you based (neighborhood)? *
Will you be in NYC for the months of July-September? *
Why are you interested in this Fellowship? *
Which of these topics are most interesting to you and most relevant to your work? (Select all that apply) *
Which medium is the work(s) you are submitting? *
Required
Please describe the work(s) you are submitting *
Max. 960 characters (approx 150 words)
What do you intend to convey to the public through your artwork? *
Max. 960 characters (approx 150 words)
How does your past work address environmental health and social justice? *
Max. 960 characters (approx 150 words)
How does your past work inspire your audience to take action to address environmental health? *
Max. 960 characters (approx 150 words)
Online link to your resume(s) *
Please submit a URL to view your resume via an online platform (i.e. Google Drive, Dropbox, webpage, etc).  Be sure that the page is viewable to all who have the link.
Work sample #1 *
(Work Title, One-line description, URL)  
Work sample #2 *
(Work Title, One-line description, URL)  
Work sample #3 *
(Work Title, One-line description, URL)  
Other comments/questions?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Human Impacts Institute. Report Abuse
Google Forms