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 INNOVATIVE CULTURAL ADVOCACY FELLOWSHIP 2015 ICA CYCLE I APPLICATION FORM This program is open to early to mid-­‐career arts-­‐based professionals (ages 25-­‐40), passionately interested in the issues of cultural arts equity, arts advocacy, and that can commit to all of the following: • Cycle I Summer Fellowship: Five Saturdays, June 6th (program orientation), June 27th, July 18th, August 15th, and September 19th, 10 am-­‐3:30 pm at a TBD cultural site locations throughout NYC. • Self-­‐directed assignment with one cultural institution: TBD • Submission of written analysis document to CCCADI for future compilation CANDIDATE CONTACT INFORMATION (Please type or write neatly) Name:________________________________________________________________________________________________ Current Employer:___________________________________________Professional Title:____________________________ Employer’s Address:_______________________________________________________________Suite.#:_______________ City:________________________________________________________State:__________ Zip Code:_______________ Home Address: ___________________________________________________________________Apt #_________________ City:_________________________________________________________State______________Zip Code_______________ E-­‐mail:______________________________________________________Contact Phone Number:_____________________ EMERGENCY CONTACT INFORMATION Name:________________________________________________________________________________________________ Daytime Phone:_______________________________________________ Evening Phone:___________________________ E-­‐mail:________________________________________________________________________________________________ CHECKLIST OF REQUIRED MATERIALS □ Application Form (four pages) □ Answers to Application Questions □ Evaluating Your Commitments □ Two Letters of Recommendation SUBMIT MATERIALS NO LATER THAN FRIDAY, April 24TH BY ONE OF THE FOLLOWING METHODS: • Email completed application form including letters to: [email protected] ; [email protected] Mail completed application form, including letters to: Caribbean Cultural Center African Diaspora Institute, Administrative Offices, 1825 Park Avenue, Suite 602, New York, NY 10035, Attn: ICA Fellowship 2015 ALL APPLICATIONS RECEIVED BY MAIL MUST BE POSTMARKED BY April 24th *CANDIDATES SELECTED FOR INTERVIEWS WILL BE CONTACTED NO LATER THAN FRIDAY, MAY 1ST SECTION A: APPLICATION QUESTIONS Write or type responses to the following three questions and attach to the application: 1) Why do you want to become an ICA Fellow and what do you hope to gain from your participation in the Fellowship? 2) During the course of your professional career, what opportunities have you had to learn about and engage with activities dealing with the issue of cultural or fiscal equity? 3) Outside of your current professional cultural work, what other cultural community or cultural issue would be of interest for you to understand? Why? SECTION B: EVALUATING YOUR COMMITMENTS AND CHALLENGES You will need to be available: • Cycle I Summer Fellowship: Five Saturdays, June 6th (program orientation), June 27th, July 18th, August 15th, and September 19th, 10 am-­‐3:30 pm at a TBD cultural site locations throughout NYC. • Self-­‐directed assignment with one cultural institution: TBD □ I am available to participate this summer I can attend on the following days: (check all days available) JUNE JUNE JULY AUGUST SEPTEMBER Saturday Saturday Saturday Saturday Saturday 6th 27th 18th 15th 19th The ICA Fellowship Program requires total dedication in terms of attendance, punctuality, and assignments. Every part of this Fellowship’s learning experience is equally important, whether you are participating within the larger group, or as part of your cohort projects. Please be thoughtful as you consider whether you are willing and able to commit the necessary time. Place a check next to your commitments other than your day-­‐to-­‐day job. Think honestly about your schedule, daily life, and what additional future responsibilities you may acquire. Because slots are limited, it’s only fair that professionals, who can fully commit their time, should apply. ___ Undergraduate or Graduate School (Please indicate how many courses/credits) ___ Family obligations (e.g. Taking care of children, elder parents, relatives) ___ Summer trips or other planned vacations •
___Other: _____________________ __________________________________ An important part of the ICA Fellowship Program -­‐ and your future career(s) as well -­‐ is utilizing critical thinking to understand changing professional environments, and creating helpful strategies to use as possible solutions. Please complete the following stems with this in mind: 1. One challenge related to a cultural misunderstanding I faced in my past work experience was… and I did ………. as a solution, the outcome was … 2. During the Fellowship, if I were having difficulty … … completing reading assignments, and/or submitting my required written work on time, I would… … arriving to the Program on time, I would… … managing my time because of work pressures, I would… … finding time for my outside appointments, etc.-­‐ which are not excused absences from my scheduled time at the program -­‐ I would … 3. These challenges and possible solutions to which I responded above make me think … SECTION C: LETTERS OF RECOMMENDATION Enclose two letters of recommendation. Ask a supervisor, former or current academic professor, or advocacy professional (other than a peer co-­‐
worker), who are well-­‐acquainted with you to write letters of recommendation for you. My letters are from : 1. Name & Title: __________________________________________________ 2. Name & Title: __________________________________________________