Request edit access
Artist Application: PONYA - BIPOC LGBTQI+ Artist Residency
PONYA (Swahili | verb | to heal | to cure | to rescue from harm)    
                                                                                
Hosted by ANKOLE Inc. 501c3. Sponsored by Destination Tomorrow 501c3. 

12 sessions, 12 artists, 6 artists in each residency cohort. Artists train in Aerial Dance technique and experience Energy Healing modalities by BIPOC Queer instructors in a safe, affirming environment. PAID opportunity. Open Level. No prerequisites. Just come beee yourself #bzzz :)

Read more about the residency on our website: www.ankolecircus.org

Submission Deadline: Sunday, September 6, 2026 @ 11:59pm EST
Email *
Payment Disclosure: Artist stipends are pre-approved by the grant in which we were awarded. Artists are required to hold 90% attendance and provide constructive feedback throughout the residency. The total stipend amount is $435.00 usd paid over two installments: $217.50 usd after session 6 is completed, and $217.50 usd after the Transition Ceremony has ended. 

By checking the box below, you agree to the above and may move forward with this application. 
*
Required
Name (how should our Community address you?): *
Pronouns (if none, please write "n/a"): *
Date of Birth: mm/dd/yyyy *

Phone Number :

*

Email:

*

Emergency Contact Name and Pronouns:

*

Emergency Contact Email and/or Phone:

*
Website, YouTube Channel, and/or Instagram Account: *

Disability Status:

*
Required

If yes and you choose to disclose, please share your disability and required accommodations:

Check which residency cohort you are available to attend. Cohorts run from 11:00am - 12:30pm every Wednesday and Saturday from September 16, 2026 - November 28, 2026. Our Transition Ceremony is on Monday November 30, 2026 @ 7:30pm  - 8:30pm. *
Required
Describe your movement-based history. This can be dance, circus, gymnastics, sports, martial arts, etc. What is your relationship to movement? *
Aerial Dance will include the following apparatuses: Hammock, Hoop/Lyra, Pole, Silks/Tissu. 
1. Name the top two apparatuses that currently speak to you.
2. Describe your level of experience in those two. 
*
Energy Healing will include the following modalities: Aromatherapy, Reiki and Vinyasa Yoga. 
1. Describe your interest in receiving any of the above. 
2. Describe your level of experience in any of the above.
*
What is your general approach in learning something new? *
How do you practice self-care for each: Mind, Body, Spirit? *
ANKOLE practices the Law of Reciprocity - everyone has something to give and is allowed to receive from the Community, creating a healthy balance. During this residency, what are you choosing to give? what are you wishing to receive? *
Anything else you wish to share? Feel free to write whatever is on your mind...or your heart :) You may also email us: info.ankole@gmail.com
By typing my name below, I take 100% responsibility for reading, comprehending and abiding by all agreements, policies and procedures regarding ANKOLE Inc. 501c3, their employees, and studio locations where this residency takes place. I agree to signing the liability/safety & risk/media release waivers for both ANKOLE Inc. 501c3 and the studio in which this residency takes place BEFORE taking part in this residency. I understand that my payment stipends are subject to my attendance and completion of required documents, and will be paid to the method of payment I provide or via cash on the date set by ANKOLE Inc. 501c3. I agree to communicate any barriers to attending this residency within 24 hours notice. I acknowledge that ANKOLE Inc 501c3 serves the right to remove anyone from the residency that poses a threat or danger to one's mental/emotional/physical/Spiritual well-being. I agree to keep other participants' thoughts/feelings/actions private and to respect and honor their process. I agree to contribute in making this residency safe, welcoming and affirming to all. I agree to be 100% responsible for the energy I bring to this residency.  *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report