Enrollment Application KUUMBA Academy 2026-2027

Enrollment Application KUUMBA Academy 2026-2027

Please fill out the application form carefully
Full Name

First NameMiddle NameLast NameSuffix
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/discipline
- 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?
- What TWO (2) days of the week are you MOST available. SUNDAY THURSDAY FRIDAY MONDAY WEDNESDAY TUESDAY SATURDAY
- YOUR ETHNICITY/RACE
  Are you of Hispanic/Latino/Spanish origin?
  YES NO
  
  How would you best describe yourself?
  A.) American Indian or Alaska Native
  B.) Asian
  C.) Black or African American
  D.) Native Hawaiian or Other Pacific Islander
  E.) Bi-Racial or Mixed Race
  F.) Other
  Type a label
- Have you been a primary resident of Charlotte-Mecklenburg for 1 year or more?
- Are you a current (or former) resident of Charlotte’s historic WestEnd or its surrounding neighborhoods?
- Should be Empty: