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Roster Artist Application 2019-2020

Thank you for your interest in applying for the Young Audiences of Maryland teaching artist roster!

Please direct questions about the application form to Zori Patrick zori@yamd.org.

APPLICANT INFORMATION

Are you applying as an individual artist or as an ensemble?

ArtistEnsemble

Stage Name of Applying Artist or Ensemble

Contact Person Information

First Name

Last Name

Phone

Address

City

State

Postal Code

Date of Birth:

Month

Day

Year

Check here if you would like to receive Young Audiences' monthly e-newsletter.

DEMOGRAPHIC INFORMATION

This section is VOLUNTARY and used for statistical evaluation only.

African American	White/Caucasian	Asian/Pacific Islander
Hispanic/Latino	American Indian or Alaska Native	Other

ARTISTIC DISCIPLINE

Please select the designation that best describes your art form.

MusicTheatreDanceVisual ArtsDigital and Media ArtsOther

If necessary, please specify your specialty in that area:

Why do you, personally, have a commitment to arts in education?

When are you available during the school year?

FOR ENSEMBLES ONLY

How many people are in your group?

How long have you been together?

RESUME

Please upload your resume including your experience as a professional artist. (PDF preferred)

If your file is too large to upload, here is a link with guidance on how to reduce your file size: http://www.cic.gc.ca/english/helpcentre/answer.asp?qnum=1213&top=23. If your file is still too large, you will likely have to compress your file by making is a zip file. Here is a YouTube video with instructions on how to do that: https://www.youtube.com/watch?v=ahATyKyfRdk

PROGRAM INFORMATION

Please complete this section for each program you would like to offer through YAMD. To add additional programs, click "Add another program" at the bottom of this page.

PROGRAM TITLE

PROGRAM CLASSIFICATION

45-minute Assembly Performance (Performing artists/ensembles only)45-minute Workshop (One stand-alone workshop following an Assembly Performance)Artist-in-Residence Program (A series of workshops, including an assembly for performers)

EDUCATIONAL EXPERIENCE

NOTE: All programs must be presented in schools before being auditioned for Young Audiences.

1. Have you presented this program in schools?

YesNo

2. If yes, how long or how many times?

PROGRAM DESCRIPTION (50-70 words)

PROGRAM GOALS AND OBJECTIVES

Outline your plan for accomplishing the learning goals of this program by describing the goals and objectives.

PROGRAM OBJECTIVES

By the end of the program, what do you want students to know, understand, and be able to do?

PROGRAM OUTLINE

Please upload an outline or script that shows your plan for accomplishing the objectives of this program.

**PDF Preferred.

PLEASE NOTE:

CONNECTIONS

Please check all curriculum related connections that apply to this program:

21st Century Skills	Anti-Bullying	Common Core-Aligned	Creative Writing
English Language Arts	Environmental Literacy	History / Social Studies	Math
Physical Education	Science	Social & Emotional Learning	STEM

* Creativity, Collaboration, Critical Thinking, Cultural Understanding, Communication

COLLEGE & CAREER READY STANDARDS (optional)

What CCRS/Common Core will be addressed during the program? How will you assess whether these standards were addressed?

Standard / Assessment

GRADE LEVELS (select all that apply)

Pre-K	Kindergarten	1st Grade	2nd Grade	3rd Grade
4th Grade	5th Grade	6th Grade	7th Grade	8th Grade
9th Grade	10th Grade	11th Grade	12th Grade

SET-UP REQUIREMENTS

SCHOOL SPACE AND TECHNOLOGY REQUIREMENTS (schools can provide)

Size of Performing/Teaching Space Required:

Technical Needs:

Chairs	Non-carpeted floor	Sink accessible	Near electrical outlets
Tables	Chairs	Projection Screen

ADDITIONAL EQUIPMENT (artist must provide)

ProjectorSound SystemOther

Please specify:

SUPPORT MATERIALS

Support materials may include:

REQUIRED: Video Sample (minimum 20-minute video sample of your assembly if you are a performing artist, or a residency workshop if you are a visual artist)
Audio Samples
Articles (newspaper, magazine, online, etc.)
Photos
Samples of your work as a professional artist
Student Work Samples

LINKS

Please copy and paste web links here, with a relevant description. To add additional links, click "Add another link."

Description:

Link:

FILES

Please upload files here, with a relevant description. PDF and JPEG formats are preferred. To add additional files, click "Add another file."

PLEASE NOTE:

Description:

REFERENCES

REFERENCE 1

School/Organization:

School district or county:

Name:

Phone

This person saw your:

AssemblyWorkshopResidency

REFERENCE 2

School/Organization:

School district or county:

Name:

Phone

This person saw your:

AssemblyWorkshopResidency

REFERENCE 3

School/Organization:

School district or county:

Name:

Phone

This person saw your:

AssemblyWorkshopResidency

CERTIFICATION

I affirm that all information in this application is true and correct.

Please type name to sign:

Confirm signature

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