Decatur Box Project Application 2022 » The Decatur Arts Alliance

Artist Contact Information

Name *

First

Last

Pronouns *

Email *

Phone *

Website (if applicable)

Instagram (if applicable)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Artist 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.)
Black or African American (African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, 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

Estimated annual individual income

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

Other Special Category

Proposed Artwork

Title of submitted work *

Brief description of work *

Design submission *

Click or drag files to this area to upload. You can upload up to 4 files.

Please attach the design submission, which must include all four sides of the electrical box as well as the artist’s signature.

Work samples *

Click or drag files to this area to upload. You can upload up to 3 files.

Please attach images of up to three samples of the artist’s previous work.

Artist agreement

I have read and agree to abide by the outlined design, installation, and maintenance requirements of the Decatur Box Project.

Artist e-signature