2020 A PLACE OF HER OWN Application
Welcome! to the application for 2020 A PLACE OF HER OWN: An arts-based healing and transformation program and culminating exhibition.
***Deadline December 1, 2019
Before you work on the form below, its best to read INFORMATION ABOUT PLACE (See link Below), it contains a detailed explanation of the program, including a detailed description, expectations and the schedule/syllabus. More info on https://www.aplaceofherown.org
The class is limited to 15 Students.

Applicants who successfully complete this application and review process, agree to the tuition, time and participation commitments, research evaluation process and confidentiality parameters of the program.

Participants are accepted and enrolled on a first-come-first-served basis. PLEASE text/email us when you have completed this application. You will be notified within 5 days of completing your application to arrange an informational meeting with Cynthia Tom, Founder and Director and a PLACE adviser. Following this meeting, if we agree you are a good fit for this process at this time in your life, you will be sent a final acceptance letter and notified of any preparatory meetings, forms, questionnaires or additional information needed.

Tuition: $2,000 to $3,500: includes materials, instruction for 25 sessions, access to art instructors, full participation in a professional exhibition and individual chats with Cynthia outside of class. This is intimate work and we keep our group small, 12 - 15 maximum. Tuition plays a small part of the funding we need to produce PLACE. We apply for grants, and ask for donations and volunteer hours to supplement. We ask for a sliding scale with the hopes that those of you who can afford this easily would be so kind as to help your community sisters that find their circumstances a bit challenged. We encourage community on many levels.

Very limited scholarships available in exchange for work. Please contact Cynthia Tom for more information.

Warm regards,
Cynthia Tom (PLACE Founder | Director | Curator) and Maggie Yee (Assistant Director| Co-Curator)
Cynthia Tom, text or call (415) 415-722-4296, aplace.sf@gmail.com

Link to INFORMATION & Syllabus - http://bit.ly/2lOVhFO
Application Deadline: December 1, 2018.

Email address *
First Name *
The name you want to be called
Your answer
Last Name *
Your last name
Your answer
What is your email address? *
(Note: Class communication is via email; pls. list the address you ALWAYS check.)
Your answer
What is your phone number? *
(If you do not have a phone, put "no phone")
Your answer
What is your address? *
Please give your address, city, state and zip code
Your answer
What is the year of your birth? *
Your answer
What is your ethnicity/ethnicities? *
Your answer
Social Service/Volunteer Organization
Give the name of the social service or volunteer organization, if you are affiliated.
Your answer
Current relationship to the organization listed above?
What is your relationship to this organization? (staff, volunteer, alumni staff, client, etc.)
Your answer
Share with us how you serve or want to work with community?
Regardless if you are part of a non-profit or not, you can let us know how you are driven to serve the community
Your answer
Based on your understanding of the goals of the program, what are your goals in attending PLACE? *
Your answer
Location, Location, Location
What is your racial group? *
(Please check all that apply - this remains anonymous and is for funding reports)
What part of the program, in particular, appeals to you and why? *
Your answer
Why do you think you are a good candidate for this program? *
The target population are women who seek intuitive wisdom, strength, and balance to express themselves through art and storytelling. This process includes acknowledging and healing emotional patterns in your life and practicing new ways that open your heart and mind. In what ways do you think that you are a good candidate for this program?
Your answer
Is there anything else you want us to know about you? *
Your answer
Attendance and Participation: Your commitment *
It is very important that you attend each workshop. All the sessions (classes and art studio times, the SCRAP field trip [Class 9, Sat. Feb 29th) are structured on a progressive platform; one informs the next. Creating your final art piece with Art Facilitators [Sessions 13-18] is vital. If you already know you will be unable to attend a sessions, the Director can help determine how adversely the absence will affect your ability to participate and complete the program.
Do you have an interest, background, or experience in fine arts, arts and crafts or visual arts? *
Please elaborate. (NOTE: No previous art experience is required.)
Your answer
Tuition ($2,000 - $3,500): How you plan pay for your tuition (check all that apply)? *
NOTE: The tuition is non-refundable, if you drop out after Class #2. We can try to work out a credit with you, it can be a tax deduction. This is a grassroots effort and we rely on the tuition and fundraising to cover the cost of this semester program. Understand that you are displacing someone when you sign on. We hope you understand. If you need ideas on how to raise the money for yourself contact Cynthia directly, aplace.sf@gmail.com.
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