POVA Artist Application
Poverty and the Arts (POVA) welcomes artists impacted by homelessness to apply. We believe we are better as a society and organization when we build relationships with those who are different from us. We embrace each individual’s unique talents and honor diverse life and work styles. We acknowledge the numerous barriers people in society experience to engaging in artistic, economic, and social opportunities. Our desire is that POVA will be comprised of artists from diverse backgrounds and experiences.

Please answer the following questions as thoroughly as possible. This information is used for program evaluations, reporting purposes, grant requests, and to inform POVA staff how to most effectively assist you.
Full legal name: *
Date of birth: *
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Phone number: *
Email address: *
Preferred contact method: *
Required
Do we have your permission to submit your information for a background check? If yes, we will collect your Social Security number in a different way. The results of your background check do not influence your acceptance into the Artist Collective. *
Do you have authorization to work in the U.S.? *
Emergency contact (name and contact info): *
Do you have a smartphone? *
Do you have internet access? *
Where are you from? *
What is the highest level of education you completed? *
How would you describe yourself? (Check all that apply) *
Required
What are your preferred gender pronouns? *
Required
Do you have a best friend or family near by? *
Do you have a therapist or counselor? Please share details at your comfort level, including: name, location, and how often you see them. *
What is your primary mode of transportation? (Check all that apply) *
Required
Are you currently experiencing homelessness? *
Where do you sleep most often? *
How long have you been homeless in Nashville? (Past or present) *
Required
In what other cities did you experience homelessness? For how long? *
If in housing, what month and year did you secure permanent or consistent housing?
In what type of housing are you currently living? *
Required
How did you find and secure this housing? *
What factors would you say contributed to you experiencing homelessness? (Check all that apply) *
Required
Are you currently employed? (Include full time, part time, temporary/holiday work, and where you are employed) *
Check the box if you receive any of the following:
If you do not receive any of the above, have you applied?
Clear selection
With your current income, what are you able to buy for yourself? *
Required
Please describe any diagnosed physical illnesses, disabilities, or conditions: *
Please describe any diagnosed mental illnesses, disabilities, or conditions (including drug addictions): *
Are you undergoing any treatment or on any medication?
Do you have TENNCARE or medical insurance? If so, who is your provider? *
Do you have any food allergies or dietary restrictions? *
Have you been convicted of a felony? *
If yes to the above, please describe:
Are you on probation? *
Do you have a parole officer? If yes, please list name and contact info:
Have you served in any branch of the U.S. Military? *
Required
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