Registration Form - BEYOND COVID: A Shift Experience!

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Registration Form - BEYOND COVID: A Shift Experience!

REGISTRATION IS FULL -- Those who sign up will be added to the waitlist.

The Maryland State Arts Council and The International Association of Blacks in Dance are excited to invite the community to BEYOND COVID: A Shift Experience! February 9, 10, - 11, 2023 at the University of the District of Columbia (UDC).

Stipends will be offered to all early registrants on a first-come, first-served basis.

Network with the creative arts community, business, and emergency response sectors to design mitigation projects that heighten emergency preparedness awareness. Don’t get caught unprepared for the next “Big Thing.”

The Shift Workshop Experience uses hands-on collaboration, design thinking, and business planning to help support disaster mitigation and grow creative networks between diverse community stakeholders.

FIRST NAME

LAST NAME

PRONOUNS

CONTACT TELEPHONE

CONTACT EMAIL

NAME OF ORGANIZATION/BUSINESS/AGENCY/INDIVIDUAL ARTIST BRAND

PLEASE CHECK THE ONE THAT BEST DESCRIBES YOUR ORGANIZATION AND OR WORK

Individual Artist

Independent Entrepreneur

Arts Organization

Service Organization

Performing Arts

Studio School and/or Program

First Responder

Museums/Library/Archive

Local/Federal Government Connected and or Agency

Other:

SOCIAL MEDIA CONTACTS

FOOD RESTRICTIONS

Vegetarian

Vegan

Gluten-free

None

Other:

Clear selection

ARE YOU APPLYING FOR A STIPEND?

Yes

Clear selection

PLEASE EXPLAIN YOUR NEED FOR A STIPEND

IS THERE ANYTHING ELSE YOU NEED TO SHARE ABOUT YOUR WORK AND OR ORGANIZATION

WILL YOU BE ABLE TO COMMIT TO ALL 3 DAYS?

Yes

Clear selection

WHAT DAYS CAN YOU ATTEND *All three days are required but special exceptions may be granted.

Thursday, February 9

Friday, February 10

Saturday, February 11

WILL YOU NEED ANY ASSISTANCE IN MAKING YOUR EXPERIENCE FULLY ACCESSIBLE?

Yes

Maybe

Other:

Clear selection

THANK YOU for completing our registration form. PLEASE make sure you have answered all our line items. PRESS SUBMIT and you'll be registered. *Please note that there are only a limited number of spaces as well as limited stipends. You will be contacted by email if you have been granted a stipend.

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