D.E.A.R. Application Form 2021 DEAR Application Form Application Type * Individual Artist Application Group / Collaboration Application Name of Artist * Name of Group/Collaboration * Project Title * Project Summary/Description * Name of primary contact for Group/Collaboration * Address: * Address: Street Street Address: City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone: * Email: * Enter Email Confirm Email: * Confirm Email Facebook (optional): URL: Group / Collaboration Founding Year * Primary Contact Year of Birth * Year of Birth * Primary Contact Gender * I prefer not to answer Female Gender Variant/Genderqueer/Nonbinary Intersex Male Third Gender Transgender Gender * I prefer not to answer Female Gender Variant/Genderqueer/Nonbinary Intersex Male Third Gender Transgender Primary Contact Ethnicity * I prefer not to answer Arab/Arab American or Middle Eastern Asian/ Asian American Black/African American Hispanic/Latinx Multi-racial or Multi-ethnic (2 + races/ethnicities) Native American Other Indigenous Groups Pacific Islander White Ethnicity * I prefer not to answer Arab/Arab American or Middle Eastern Asian/ Asian American Black/African American Hispanic/Latinx Multi-racial or Multi-ethnic (2 + races/ethnicities) Native American Other Indigenous Groups Pacific Islander White Biography of Artist, Organization or Collaboration * Project Description * Additional information for the panelists (optional) Length of Residency (# of weeks) * If you are human, leave this field blank. Next
