1. Personal Information:

   Name:

   Address 1:

   Address 2:

   City:

   State:

   Zipcode/Province:

   Country:

   Email:

   Phone:

   Date of Birth:

   Place of Birth:

   Male/Female:

   Citizenship:

   If you wish to be identified with a particular racial or ethnic group, please check one that applies.

   American Indian / Alaska Native Hispanic or Latino Black or African American White, Non-Hispanic or Latino Asian Native Hawaiian or other Pacific Islander Two or more races Other Decline to respond
   

   How did you hear about the Curatorial Intensive?

   e-flux NYFA ICI e-blast Other (please specify)

2. Education and Background

   Paste your current resume or CV here.

3. Statement of Intent

   In 1,000 words or less, please explain why you would like to attend the Curatorial Intensive.

4. Description of a Recent Exhibition

   Describe a recent exhibition that has made an impact on you in no more than 500 words.

5. Exhibition Idea

   Please write a 500-word description of a program idea that you would like help in developing. Submissions should include a preliminary concept or key idea, and name(s) of artist(s) you are considering.

6. Scholarship Request

   If you are interested in applying for a scholarship you must address the following questions in a short essay (less than 600 words): 1. What are your future educational and career goals? 2. How specifically would the Curatorial Intensive help you to achieve those future educational and career goals? 3. Because this scholarship is partially awarded on need-based criteria, please explain the specific nature of your past or current financial challenges. Applicants for the SAHA Curatorial Intensive Scholarship for candidates of Turkish origin must send an additional letter of reference to chelsea@curatorsintl.org by the application deadline.

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