Art Enables Enrollment Interest Form
Thank you for your interest in becoming an Art Enables resident artist. Please note that we are currently at capacity for DC DDA waiver service individuals and will be contacted when spots become available. For those who want to enroll privately with their own funding, you will be contacted within 2-4 months, provided that you meet the minimum qualifications. 
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Are you completing this form for yourself or someone else you know? If you are completing this form for someone else, please provide your contact information and your relation to that person? *
Name of Applicant: *
Phone Number: *
Email Address: *
Age:
Please note you must be at least 21 to be considered for this program.
 *
State and City of Residence:
Art Enables is a vocational arts program, exclusively for people with disabilities (cognitive, developmental, physical, or mental  health diagnosis's).  Do you have a disability? *
If you live in Washington, DC are you connected with services through the Department on Disability Services?
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If you receive services through the DC Department on Disability Services, please provide the name and contact information for your Service Coordinator.
Please describe any art experience you may have.

Note: Art experience is not required, only a genuine interest in the art-making process and developing as a professional artist.
 *
Is there any additional information that you would like to share?
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This form was created inside of Art Enables.