Rooting | Form Application

Form Application

Rooting | Black, Indigenous, and Disability Communities in New Media
Click here to see the Call for Applications.

Need support? Email belinda@interaccess.org or click here to book a meeting with Belinda.

Changed your mind about how you want to apply? Instead of using this form, you can apply via video call, phone call, or email.
Name

First NameLast Name
Pronouns
Email
example@example.com
Phone Number
Please enter a valid phone number.
City
Region
Country
Experience as Artist Educator
Have you led more than 3 art education events within your community?

YesNo
Please describe your experience with teaching and peer-to-peer learning.
New Media Experience
Do you have experience with new media projects or programs?

YesNo
How is new media important to your artistic practice?
Applicant Goals
How will this program be helpful to your goals?
Access to Tech
Computer Access: Please select the option that fits your situation.

I have 24/7 computer access.I have computer access at least 3 days/week.I have computer access fewer than 3 days/week.My computer access is inconsistent.
Internet Access: Please pick the option that fits your situation.

I have 24/7 Internet access.I have Internet access at least 3 days/week.I have Internet access fewer than 3 days/week.My Internet access is inconsistent.
Click here to check your internet speed.
When you have access to Internet, what is the download speed?

More than 50 Mbps26-50 Mbps5-25 MbpsLess than 5 MpbsI don't know.
When you have access to Internet, what is the upload speed?

More than 6 Mbps4-5 Mbps3 Mbps or less.My download speeds are inconsistent and vary across the different options.I don't know.
What family or families of operating systems are available to you? Please select all that apply.

WindowsMacOSLinuxUbuntuiOS (mobile)Android (mobile)Other
Please describe any other relevant details regarding your Internet, hardware, and software setup.
Requested Accommodations
Please describe your needs for accommodation, if you have any. This includes any barriers you may experience in online learning: technological, financial, and otherwise.
CV/Resume Upload
Please upload your CV/resume, if desired.

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Portfolio Upload
Please upload your portfolio, if desired.

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Should be Empty:

Form Application

Experience as Artist Educator

New Media Experience

Applicant Goals

Access to Tech

Requested Accommodations

CV/Resume Upload

Portfolio Upload