The Joel Fund · Operation ART Scholarship Form

Have you taken an Operation ART class in the past? *

Yes

No

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

If other, please provide in which county you reside. *

Emergency Contact Information

If you would like to, you may add an emergency contact to your registration. This person will be contacted by the Operation ART Program Coordinator if there is an emergency while in class.

Would you like to add an emergency contact? *

Yes

No

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

Demographic Information

Please complete the demographic questions so we can understand the diversity of our class. This information is optional and does not affect your participation in the class.

What is your gender?

Male

Female

Non-Binary

Transgender

Prefer not to state

What is your current age range?

18 - 21

22 - 30

31 - 40

41 - 50

51 - 60

60+

Prefer not to state

What is your race/ethnicity?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latinx

Native Hawaiian or Other Pacific Islander

Caucasian or White

Multiracial

Prefer not to state

Military Affiliation

What is your military connection? *

Select all that apply.

Service Member (active, reservist, National Guard)

Prior Service Member (retiree, veteran)

Military family member

Caregiver for a military connected individual

Branch(es) of service *

Please provide proof of service for yourself or the individual with which you are connected. *

This could be a Military ID, VA ID, or DD214.

Class Details

How did you hear about our classes? *

How often do you engage with creative expression activities? *

Infrequently (less than once a month)

Sometimes (at least once a month)

Regularly (at least once a week

Which class(es) / workshop(s) are you registering for? *

Please select all that apply. If you do not see a class, it is currently full!

Woodcarving

Watercolor Painting

Multimedia Art

Virtual Writing for New Beginnings

ADVANCED, PREREQUISITES REQUIRED: Virtual Landscape Photography

ADVANCED, PREREQUISITES REQUIRED: Virtual Advanced Writing Masterclass

Photography: What is your experience with photography? *

Have you taken Beginning Photography or Photo 1 with The Joel Fund? *

It is a requirement that you have taken a beginning photo-level class with The Joel Fund or are familiar with using the manual settings of your camera.

Yes

No

If you have not taken a beginner-level photography course with The Joel Fund but have experience with photography and are interested in taking this class, please contact Operation ART Program Manager, Isabella Brezenski at 919 200 0886 or isabella@thejoelfund.org to get more information.

Photography: Do you have a digital camera? *

Yes

No

Photography: What is the make and model of your digital camera? *

If no, please contact Operation ART Program Manager, Isabella Brezenski, at 919 200 0886 or isabella@thejoelfund.org to inquire about loaner cameras for students.

Virtual Writing: Which of the following creative writing activities do you engage with? *

Poetry

Journaling

Stories (fiction and/or nonfiction)

Memoir

Drama, screen plays

Other

None

Do you understand that this class is ONLY for new/beginning writing students? *

This class is for individuals who have not previously taken a TJF Creative Writing class, or those who have not taken a writing class in a while.

I Understand

Advanced Writing: Have you taken at least two creative writing classes at The Joel Fund? *

Yes

No

Students must have taken two Creative Writing classes at The Joel Fund or have permission from the instructor with prior writing experience in order to take this course. If you have not taken Creative Writing at The Joel Fund and have relevant experience, please contact Operation ART Program Manager, Isabella Brezenski at 919 200 0886 or isabella@thejoelfund.org to get more information on registering for this class.

Advanced Writing: Please list the two creative writing classes you have taken below. *

Be sure to include the session and year if possible.

Accommodations

Please provide any information on accommodations you may need in order to be successful in class..

Media Release

Do you agree to be photographed/videoed for TJF media and shared with grantors and partners? *

Occasionally we like to post photos/videos of activities happening during TJF Operation ART Classes on our social media, website, and share with our partners that help fund our programs.

Yes

No