The Babis Gousias Memorial Fund Application

The Babis Gousias Memorial Fund Application
Name*

First NameLast Name
E-mail*
Phone Number
Under which criteria are you applying?*

Financial Need (please answer questions 1, 3 & 4; 5 is optional)Minority Community (please answer questions 2 & 3; 5 is optional)
1) Please describe your current financial situation, detailing why you feel you are eligible for a Fund Award on the basis of Financial Need. (This is not a fictional or creative exercise) 1000 words.

0/1000
2) Please describe in detail the Minority Community with which you identify; and your experience as being a part of it. Such a community could be with respect to age, sex, sexual orientation, gender identity, religion, ethnicity, immigration status or nation of origin. (This is not a fictional or creative exercise) 1000 words.

0/1000
3) Why do you feel participating in the OYL International Performance Residency is vital for you this year?*

0/250
4) Upload prior year tax returns - your own and those of a responsible party, if you are considered a dependent (required for all Financial Need Applicants. Not required for Minority Community applicants)

You may upload multiple files here
Cancelof
5) Attach up to 2 Supporting Documents (Optional)

You may upload multiple files here
Cancelof
Can you confirm your written answers and any supporting documents are true and honest?

YesNo
If selected for a Fund award, do you agree to creating and submitting the Creative Work required, as described on the information page?

YesNo
If selected for a Fund award, do you agree to writing and submitting your Letter to the Fund required, as described on the information page?

YesNo
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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
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