Clone of FTSL Program Application Form

Culture Bearer Intake Form
GLSL Program ID
Hire the Second Line Program ID
Young Keepers of the Culture Program ID
Culture Bearer Program ID
Supportive Pathways Program ID
GLSL Program Enrollment ID
Culture Bearer Program Enrollment ID
Final Program ID
Todays Date

MonthDayYear
Date
Program Enrollment Name
Person Type
Program Enrollment Record Type ID
Is GLSL
Is Culture Bearer
Is Active
This form helps Feed the Second Line connect culture bearers to paid opportunities through Hiring the Second Line, as well as programs and resources through Supportive Pathways. The information you share allows us to place you in opportunities that align with your cultural role, availability, and interests.

Time to complete: Approximately 5 minutes.

Thank you for your role in carrying New Orleans culture forward.
Personal Information
1. What is your full legal name?

First NameLast Name
2. What is your date of birth? (MM/DD/YYYY)

MonthDayYear
3. What gender do you identify as?

Other
4. What parish do you currently live in?
What is your zip code?
5. What is your phone number?
Please enter a valid phone number.Format: (000) 000-0000.
6a. Do you have an email address?
6b. If yes, please enter your email address:
example@example.com
Cultural Identity & Interests
7. What cultural tradition(s) do you participate in? (Select all that apply)
7c. What instrument do you play?
8. Are you the leader of any group?
9. Which group are you the leader of?
10. What is the name of the Cultural Group(s) that you participate with? (List all that apply)
11. What is your Culture Bearer Name? (Ex: "SpyBoy JJ" or "Big Chief Edward")
1`2. Please upload at least one recent photo of yourself participating in culture, wearing regalia, performing, masking, parading, or representing each cultural group or organization you are affiliated with. These photos help Feed the Second Line with identification, documentation, cultural records, and program verification.

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13. Which social media platforms do you use? (Select all that apply)

Other
13b. Please list your social media handle(s) (e.g., @username):
Hiring the Second Line
14. What types of paid opportunities are you interested in? (Select all that apply)
15. Would you like to volunteer with Feed the Second Line for future events and activities?
16. Are you available for opportunities on:
17. Are you currently working?
18. Are you interested in training or certifications (e.g., green workforce/solar)? Note: Opportunities may be available through Get Lit Stay Lit and LA Green Corps.
19. Do you have a valid driver’s license? Note: Not required, but helpful for certain opportunities
Documentation & Participation Acknowledgment
Are you comfortable being photographed or recorded for documentation?
Feed the Second Line may document programs, events, workshops, cultural activities, distributions, and community initiatives through photos, video, and audio recordings. Please select your preference below:
Required Acknowledgments

All ccknowledgments are required before submission.
Should be Empty:

Culture Bearer Intake Form

Personal Information

Cultural Identity & Interests

Hiring the Second Line

Documentation & Participation Acknowledgment

Required Acknowledgments