The Moth x Artreach Inc. Virtual Introductory Workshop Pre-Registration

The Moth Community Program provides the space, tools, and expertise for people to practice the art and craft of personal storytelling. We partner with community organizations, cultural institutions, and non-profits to host workshops that inspire confidence, encourage self-reflection, and deepen connections within and between communities.

Artreach, Inc. is an arts organization that supports people who have lived experience with mental health issues to use the arts in the service of their recovery.

Important Note: Pre-registrations will be accepted through Friday, September 1 and all applicants will be notified of their status by Wednesday, September 6. A minimum of 9 and a maximum of 30 participants is allowed.

Workshop Schedule:
Saturday, September 16, 2023
1:00 pm - 4:00 pm ET
*The above times are Eastern Time - the local time in New York City, New York

Workshop Location: Zoom

Contact Information

Name

First Name

Last Name

Preferred Name

Phonetic Pronunciation of Your Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Additional Information

Other

Gender

Select all that apply

Woman

Man

Non-conforming

Transgender

Prefer not to answer

My gender is not listed

Race

Check all that apply

Black/African American

Hispanic or Latina/x/o

Native Hawaiian or other Pacific Islander

White/Caucasian

Prefer not to answer

My race/ethnicity is not listed

Workshop Information

My expectations for this workshop are:

Check all that apply

To become a more effective storyteller in my professional life.

To become a more effective storyteller in my personal life.

To develop a story that I have been working on.

To develop new story ideas.

To know my community better.

To tell my story to an audience.

I don't know what to expect from this workshop.

Other

Please explain

Describe your interest in taking this workshop. What do you hope to gain from the experience?

Story Development

Please note: (1) this workshop will focus on personal stories - i.e., you will be developing a true story that has you as the central character, and (2) You do not have to commit to this story for the workshop, but it's good to have a couple of ideas ready to jump-start your thoughts. (Please visit themoth.org for story examples.)

Tell us about the story you would like to develop.

Optional Question

A portion of the seats in this workshop are reserved for people who have lived experience with mental health issues. If this applies to you and you feel comfortable disclosing that you have experienced mental health issues, been in therapy, are in recovery, etc., please click yes. THIS QUESTION IS OPTIONAL and all answers will be treated with confidentiality by Artreach.

Yes

By signing my name below, I agree to attend the workshop if selected, and to notify The Moth if unable to attend:

Anything else you want to tell us or that we should know?