Indigenous Arts Leaders Fellowship Application Form To apply for the Indigenous Arts Leaders Fellowship you must submit an application form, include a current CV or resume, and provide the names of three references or letters of reference. The application must be signed on page 6 (digital signatures are acceptable). You can print a blank form and fill it in by hand, or type directly into this fillable PDF. Please note that fillable PDF’s only work with Adobe software and will not save or print with other types of programs such as “Preview” for Mac users. If you do not have Adobe Reader you can download it for free. Before beginning this application please ensure you have read the program guidelines. If you have questions about the program please contact Dominic Lloyd, Program & Arts Development Manager at the Winnipeg Arts Council. Applications must be received by the Winnipeg Arts Council before 4:00 pm on Friday September 13, 2019. Late applications or applications received without all of the required materials may not be accepted. To submit by mail, courier or hand-delivery: To submit electronically: Indigenous Arts Leaders Fellowship Email to [email protected] Winnipeg Arts Council 103-110 Princess Street Using “Fellowship Application” Winnipeg, Manitoba R3B 1K7 as the subject line For more information please contact: Dominic Lloyd Program & Arts Development Manager Winnipeg Arts Council 204-943-7668 [email protected] The Winnipeg Arts Council is located on Treaty 1 Territory and on the ancestral lands of the Anishinaabeg, Cree, Oji-Cree, Dakota and Dene Peoples and in the homeland of the Métis Nation. As one of the original signatories to Winnipeg’s Indigenous Accord, the Winnipeg Arts Council acknowledges the importance of Indigenous people within the arts in Winnipeg and aims to provide creative opportunities in public art projects, artistic opportunities for individual artists and arts organizations, and development opportunities in the area of arts management. Indigenous Arts Leaders Fellowship Application Tell us about yourself Name:______________________________________________________________________________________________ Address:___________________________________________________________________________________________ City: _______________________ Province: _________________________ Postal Code: _____________________ Email address: _________________________________ Phone ____________________________________________ What is your First Nations affiliation or First Nations Métis Inuit Indigenous heritage: Name of home community / First Nation: _________________________________________________________ What is the highest level of education you’ve attended High school College / University Trade / Technical School Name of Institution: _________________________________________________ Have you completed the program? Y e s N o Year completed or last enrolled: _______________________________________ How would you rate your current proficiency with office computer applications? (Word, Excel, PowerPoint etc.) Novice Beginner Intermediate Advanced Expert How would you rate your current proficiency with social media? (Facebook, Twitter, Instagram) Novice Beginner Intermediate Advanced Expert 2019-20 Indigenous Arts Leaders Fellowship Application Form Page 2 of 6 Indigenous Arts Leaders Fellowship Application Tell us about your involvement in the community Have you worked for an arts or heritage organization? (paid or volunteer) Yes No Have you ever worked in another not-for-profit organization? Yes No If yes, please specify the organization(s): _____________________________________________________________________________________________________ Please write a paragraph outlining your knowledge/experience with the arts or heritage sectors in Winnipeg 2019-20 Indigenous Arts Leaders Fellowship Application Form Page 3 of 6 Indigenous Arts Leaders Fellowship Application Tell us about why you want to be a Fellow Every individual’s path is distinct. Experience comes in a variety of forms so please tell us how you demonstrate a commitment to building a career in the arts and/or heritage. This can be a combination of many things, for example volunteer experience, grant writing, performance or exhibition history, etc. 2019-20 Indigenous Arts Leaders Fellowship Application Form Page 4 of 6 Indigenous Arts Leaders Fellowship Application If selected as a Fellow, what do you hope to learn from the experience? Please provide some additional information: Are you available from October 15, 2019 to June 30, 2020? Fellows are expected to work a regular schedule though hours may vary according to the level of activity within the host organization. Yes No Please attach a CV or resume showing your artistic, educational, and career experience. 2019-20 Indigenous Arts Leaders Fellowship Application Form Page 5 of 6 Indigenous Arts Leaders Fellowship Application References Please provide three references. You can attach letters of reference or use this form to supply the names and contact info for three people who may be contacted for a reference check. References are Attached Listed below Reference 1: Name: ___________________________________________ Relationship to you: ____________________________ Phone: __________________________________________ Email: ___________________________________________ Reference 2: Name: ___________________________________________ Relationship to you: ____________________________ Phone: __________________________________________ Email: ___________________________________________ Reference 3: Name: ___________________________________________ Relationship to you: ____________________________ Phone: __________________________________________ Email: ___________________________________________ Declaration By signing this document I certify that the statements in this application are accurate and complete, to the best of my knowledge. SIGNATURE:_______________________________________ DATE: ___________________________ Only those applicants selected for an interview will be contacted. The Winnipeg Arts Council and Manitoba Museum reserve the right not to fill any advertised position(s). 2019-20 Indigenous Arts Leaders Fellowship Application Form Page 6 of 6 .