Personal InformationName First Last Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary PhoneSecondary PhoneEmail Birth Date Date Format: MM slash DD slash YYYY GenderSelect OneMaleFemalePrefer not to specify.Visual Area of Expertise (check all that apply) Ceramics Drawing Painting Graphic Design Photography Sculpture Other If other area of expertise, please specifySample of work* Drop files here or Please upload a selection of your best work. Make sure that your name is part of the file name.Letters of ReferencePlease include 1-2 letters of recommendation from a teacher or employer (someone that knows you artistically, academically and/or professionally) with your application. All references should speak to your work, artistic skill, ethic, reliability, character, attitude, interest in art, etc. Drop files here or Accepted file types: jpg, gif, png, pdf, doc, docx, txt. Demographic Information Please answer the following questions as they apply to you and your family. This information will be used for statistical purposes only, and is confidential. Your answers do NOT affect your acceptance.Ethnic Origin African American / Black Asian / Pacific Islander European American / White Hispanic / Latino Native American Other If other ethnic origin, please specifyDoes your family or household receive any of the following? Food Stamps Unemployment Compensation Social Security Benefits In which of the following situations do you currently live? With my parents With relatives On my own With non-relatives How many people (including yourself) live in your household?Select the yearly income range of your household or family$0 - $7,820$7,821 - $12,810$12,811 - $17,580$17,581 - $21,700$21,701 - $25,610$25,611 - $29,950$29,951 - $34,290$34,291 - $38,630$38,631 - $50,220$50,221 - $61,980$61,980 - $73,140Above $73,140Have you worked for Gallery 37 before?Select oneYesNoIf yes, please list all years and projects on which you have worked.Apart from Gallery 37, what other jobs have you held in the past?Please list dates of employment and what your job was.Attendance Information Gallery 37 requires a commitment of at least 20 hours a week, with sessions being held M-TH, from 9:00am - 3:00pm, May 26, 2020- June 25, 2020.Will you be able to attend all scheduled sessions?YesNoIf you cannot attend all scheduled sessions, please explainWVAC will not discriminate, nor tolerate discrimination, against any applicant or apprentice on the basis of race, color, religion, national origin, gender, sexual orientation, or disability in the award of apprenticeships, nor in the participation, access and treatment of persons within the Gallery 37 program. Additionally, the WVAC will provide an environment for each applicant and apprentice that is free from sexual harassment, as well as harassment and intimidation on account of an individual's race, color, religion, gender, sexual orientation, national origin, or disabilityDo you have any special needs or physical limitations that need accommodation?Select oneYesNoIf yes, please describe your special needsThe Process / What to Expect Submitted applications will be reviewed and selected applicants will be contacted in April 2020 to schedule a face-to-face interview with Gallery 37 staff and stakeholders. Applicants are required to bring a portfolio of their work, including 3 or more pieces of original artwork, to the interview. All candidates selected will attend a mandatory orientation at Estrella Mountain Community College (EMCC) on a date to be announced in early May. Applications must be completed and received by 5pm on March 20, 2020 to be considered.CAPTCHA