AIC Membership Application Form

Artist Impact Circle Application Form

Thank you for your interest in the Artist Impact Circle from MIDDAY Movement Series, a membership program designed to support professional dance artists to engage in activism and advocacy, To apply for membership please complete all required questions.
Personal Information
Name*

First NameLast Name
Email*
Please list the postal code of your place of residence
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Zip Code*
Please list the postal code of your place of residence.
Trans ManTrans WomanNonbinary / Gender NonconformingCis ManCis WomanLGBTQIA+Black, Indigenous, and/or Person of ColorImmigrantDisabledNeurodivergentLow-Income ($30K annually or less)Other
Artistic Information
YesNoOther
ContemporaryContact ImprovAfrican DanceBalletBurlesqueClassical Non-Western FormsExperimentalFolk DanceImprovisationJazz DanceLatine FormsModernSocial DanceStreet Styles / Hip HopTap DanceOther
BostonCambridgeSomervilleOther
Artist Resume/CV/List of Arts Activities from Past 3 Years*

Cancelof
Please submit at least one sample representative of your work from the past 3 years.
Work Sample 1*
Work Sample 2
Work Sample 3
Membership Information
In this section, we will collect information about how you hope to engage with the AIC in terms of action and contribution level. MIDDAY aims to make AIC membership fees affordable for all, offered on a sliding scale of $15-$50. At the same time, we rely on membership fees to afford program costs:
- A $30/month fee will enable MIDDAY to afford the costs of all our program benefits;
- A $40/month fee will enable us cover the cost of program benefits and pay our staff for AIC admin time;
- A $50/month fee will help us cover all program benefits, related staff time, and cover the cost of subsidize AIC membership fees.
The Green Bottle chart, created by Alexis J. Cunningfolk with additions from Britt Hawthorne, expands our understanding of financial privilege and experience. We ask all applicants to review the chart below to determine the level you’re able to invest.
What monthly membership fee do you wish to set? *
Please list the recurring amount you would like to set your AIC membership fee. This is in USD, but enter numbers only.
Climate Change / Environmental JusticeDigital JusticeEconomic JusticeFood JusticeGender + Sexuality JusticeHousing JusticeImmigration JusticeMedical JusticePolice ViolenceReproductive RightsTransportation JusticeWh*te N @tion ali$mOther
Researching local history (context-building)Researching current events + landscapeDigital resource-buildingMutual aidCanvassing and phone bankingAttending town halls, council meetings, and other organizing activitiesNot sureOther
Trust and relationship-buildingConflict resolutionSelf defenseResearching + reportingEquipment (cameras, laptops, etc)Housing or spaceTransportationClothing, bedding, or other textilesGrocery items or cooked mealsHealing and/or medical knowledgeLegal knowledgeOther specialized knowledge (please describe in "other")Other specialized skills (please describe in "other")Not sureOther
MEMBER AGREEMENTS

Please note that, although member benefits include access to MIDDAY's classes and programs, the Artist Impact Circle membership is not the same as a class card or class subscription.

Collective action and visible impact take time and consistency. In order to succeed, the AIC will rely on dedicated engagement, regardless of your ability to attend class. If accepted into the membership, we ask you to maintain your AIC membership for at least six months.

If your financial circumstances change during this time, please contact Marissa Molinar, MIDDAY Director, at marissa@middaymovement.org so we can adjust your membership price. We also ask members to stay engaged with MIDDAY to help us to flesh out and improve the AIC as the membership develops.
I agree.
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Artist Impact Circle Application Form

Personal Information

Artistic Information

Membership Information