Application - Young Adult Circus Arts Mentorship Program

Name*

First Last

Email*

Please keep me updated with YACAMP email updates. I understand that my personal information is never shared.

Preferred Pronouns*

Date of Birth*

Phone*

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address for September 2020 – August 2021

If different.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Status.

Do you have permission to work in the US?

Yes
No
Unsure

Availability*

Are you consistently available to attend sessions on Tuesdays 8:00-10:00pm Eastern from September 2020 through August 2021?

Yes
No
Unsure

Internet Connection.*

Do you have reliable access to the internet, the ability to attend video conferencing, and a device with which you can record yourself rehearsing? If no, please explain. Do you have any technology concerns not specified?

What is your primary circus discipline?*

Which other, if any, disciplines do you perform?*

Work video.*

Please provide a link to a video demonstrating your circus discipline(s). This can be a recording of a prior rehearsal or performance, or something you craft for this purpose; however you want to showcase yourself. We are unable to accept files, please provide a link (such as YouTube or vimeo) and any password necessary to view.

Equipment.*

Do you currently own the equipment and/or apparatus required to perform in your discipline(s)?

Yes
No

Do you currently have access to a coach who you prefer to work with? If yes, please let us know who you are currently training with:*

Why do you want to be a Circus Artist?*

How do you define success as a Circus Artist?*

Whom in the Circus Industry do you see as role model or inspiration?*

What do you hope to get out of your time in the Young Adult Circus Arts Mentorship Program?*

What challenges do you see for yourself in participating in the Young Adult Circus Arts Mentorship Program?*

Tell us about yourself! What would you want someone who hasn't met you to know about you?*

Are there any accommodations you need to be your most successful in this program? If you choose to share any medical information in answering this question it will be kept private and only used to help us better understand how to meet your needs.*

Are you currently enrolled in school? If so, where are you enrolled?*

Agreement*

I have read, understand and agree to all information found on the “Register Now” page.

The “submit” button will appear only once you have verified your understanding of the Registration conditions and expectations.

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Comments

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Fall 2020 Applications due September 5.

Young Adult Circus Arts Mentorship Program