Enrollment Application KUUMBA Academy 2025-26 In association with Johnson C. Smith University- Cultural Studies program

Enrollment Application KUUMBA Academy 2025-26 In association with Johnson C. Smith University- Cultural Studies program

Please fill out the application form carefully
Full Name

First NameLast Name
Personal Information
Birth Date

MonthDayYear
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education Background (if any)

University, Community College, Conservatory, Vocational or/and Master Classes only
- School name
- School name
- School name
- Artistic Background Information
- Brief description of your PRIMARY creative gifts.
- Brief description of your SECONDARY creative gifts or/and other artistic interests?
- How would enrollment in KUUMBA ACADEMY’s 9-month fellowship providing artistic & professional development for creatives of color impact your creative career?