Creative Village Housing

I'm interested in renting:

First Choice
Second Choice
Third Choice

Applicant (Artist / Renter) Contact Information

Name *

First

Last

Legal Name of Applicant

Preferred Pronouns

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Applicant (Artist / Renter) Demographic Information

The Decatur Arts Alliance is committed to providing equitable opportunities to artists. Although our organization acknowledges that race is a social construct and individuals are not easily categorized by physical origins or features, accurate data regarding program participants permits our organization to ensure that we are serving a diverse population. The following information is collected for informational purposes only, completion is entirely optional, and responses will not impact the selection process in any way. Demographic data is also utilized by the Decatur Arts Alliance when applying for foundation grants and governmental funding.

Artist age range

Race and ethnicity (check all that apply)

American Indian or Alaska Native (Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.)
Asian (Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.)
Hispanic, Latinx, or Spanish Origin (Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc.)
Middle Eastern or North African (Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc.)
Native Hawaiian or Other Pacific Islander (Native Hawaiian, Samoan, Chamorre, Tongan, Fijian, Marshallese, etc.)
White (German, Irish, English, Italian, Polish, French, etc.)
Other (write-in)

Other for Race and ethnicity

Estimated annual individual income

Applicant identifies with any of these special categories (select all that apply):

Other for special categories

Applicant (Artist / Renter) Artist Work Information

Artwork Mediums *

Provide brief artist statement: *

What do you feel you can bring to our community? *

Website / Instagram / Social Media Link

Earned Income Form *

Click or drag a file to this area to upload.

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Reference 1:

Name *

Name of Reference 1

Relationship *

Relationship to Reference 1

Phone *

Phone Number of Reference 1

Reference 2:

Name *

Name of Reference 2

Relationship *

Relationship to Reference 2

Phone *

Phone Number of Reference 2

Agreement

Applicant (Artist / Renter) E-Signature *

Affordable Housing for Creatives

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Applicant (Artist / Renter) Contact Information

Applicant (Artist / Renter) Demographic Information

Applicant (Artist / Renter) Artist Work Information

Reference 1:

Reference 2:

Agreement