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Sliding Scale Coaching Application
Tell us about yourself! Please feel free to share as much or as little as you are comfortable. As with all of our classes at HAS, this is a safe space to express your ideas and explore your creativity.
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* Indicates required question
Email
*
Your email
Name (first and last)
*
Your answer
Age
*
Under 14
14-16
16-18
18-22
23 +
If you answered under 18, do you have your parent or guardian's permission to pursue this training?
Yes
No
I haven't asked yet
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Phone number
Your answer
Where you're from
*
Your answer
What kind of work do you dream of creating as an artist?
*
Your answer
Tell us a story about your life that you believe reflects your values, passions, and/or motivations to create
*
Your answer
Do you identify as Latinx?
*
Yes
No
Prefer not to say
Do you identify as Black, Indigenous, or a Person of Color?
*
Yes
No
Prefer not to say
If you answered yes, how do you personally identify?
Your answer
Is English your second language?
*
Yes
No
Prefer not to say
If you answered yes, what other languages do you speak?
Your answer
What is your gender expression?
*
Male
Female
Nonbinary
Genderfluid
Gender Non-Conforming
Prefer not to say
Do you identify as a member of the LGBTQIAP+ Community?
*
Yes
No
Prefer not to say
If you answered yes, how do you personally identify?
Your answer
Are you a person who has a mental or physical disability?
*
Yes
No
Prefer not to say
If you answered yes, please feel free to explain/specify
Your answer
How much do you feel comfortable paying for a 60 minute one-on-one professional coaching session?
*
$25-$40
$40-$60
$60-80
$80-$100
I can't afford any of these
Anything else you'd like us to know about you?
Your answer
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