the EXCHANGE - Expression of Interest

Expression of Interest
the EXCHANGE

KwaYa Creative Leader Scholarship
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Profession
Position/Role
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Question 1 - What best describes your creative or community background?
If OTHER, please explain.
Question 2 - What role does creativity, music or community connection play in your life?
Question 3 - What draws you to the EXCHANGE?
Question 4 - What would you hope to bring to the experience?
Question 5 - What would you hope to carry home into your own community afterwards?
Question 6 - How did you hear about the EXCHANGE?
Question 7 - Have you previously connected with KwaYa in any way?
Question 8 - Why do you feel this experience could be meaningful for you and your community??
I have read and understood the FAQs and Terms & Conditions for The Exchange.
Should be Empty: