Tattoo Scholarship Inquiry form
Submissions do not require you to share your name. We will reach out when we receive your form to talk more about if Xipe Project is right for you. Filling out this form does not guaruntee an appointment.
The Xipe project offers cover-up and corrective tattoos for Survivors of gang violence, incarceration, Sex Trafficking or for those who are in substance recovery. Without disclosing your specific experience, do you meet one or more of qualifications above?
Yes
No
Are you over the age of 18 with a valid ID?
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Yes
Phone
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Area Code
Phone Number
E-mail
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Were you referred by a provider, community organization, or non-profit ?
Are you interested in a correction or full cover-up? Please attach photo of your tattoo below, photos are ONLY used to asses if your tattoo can be covered and are NEVER shared.
Full cover up
Correction
What is your vision for your new tattoo?
Do you need your tattoo covered before a certain date? IE, wedding, court date, job training or start date?
Any specific date/time?
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AM/PM Option
What days work best for you?
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What time works best for you?
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Morning
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Do you have transportation to a tattoo apppointment?
Yes
No, I will need an Uber or Lyft from XIPE Project
If you experience with the prison system, would you be interested in doing an anonymous interview with New York Tattooer Tamara Santibanez as part of their ongoing abolition project?
Give me their email
No thank you
Submit
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