Name *

First Name

Last Name

Phone *

(###)

###

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Preferred Pronouns

She/Her

He/Him

They/Them

She/They

He/They

Prefer not to say

Other

Race/Ethnicity

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Hispanic or Latino

Middle Eastern or North African

White or Caucasian

Other

What type of membership are you interested in? *

Permanent Artist Studio

Creative Co-Working Membership

Are you interested in any a-la carte options?

Easel

Desk

DIY Art Kit

Individual art supplies

High quality equipment (ex. projector)

Other

Are you available to do a background check and complete an afternoon trauma-informed training? *

Because the adults will share the same campus as the teens, all artists who rent a studio or participate in our artist residency program will be required to undergo a background check and complete a trauma-informed training. However, the adult programing will be completely separate from the teens, unless scheduled.

Yes

No

Are you open to participating in our teen mentorship program? *

Our goal is to create an intergenerational ecosystem of learning and exchange. We'll encourage all artist studio residents to volunteer in the teen center 1 day/month (however, this will not be required).

Yes

No

Are you open to facilitating any workshops with either teens or adults? *

Yes, both

Yes, teens only

Yes, adults only

No

How would you describe where you are in your art practice? *

Hobbyist/Enthusiast

Part-Time Emerging Artist

Full-Time Professional Artist

Other

Have you exhibited work in Bend or elsewhere? *

Yes, Bend

Yes, elsewhere

No

If yes: