Application Questions

This page lists the questions we will ask on the application form for the Collective Access Screendance Residency.

To fill in the online application form go to this link: https://forms.gle/EUYDNzHBXWudsV9k9


Details about the residency can be found at: https://CreativeMoment.im/residency

Application deadline: Wednesday May 11th, 2022 at 11:59 PM Pacific Time.

If the Google Form is not accessible for you, alternate ways to apply include:

  • Word document (ask us to email it to you)
  • meeting on Zoom or by phone or Video Relay Service
  • sending an audio recording
  • or sending a link to a video response.

If you hire a support person to assist you in filling in the application form, there may be funding to reimburse this expense: please be in touch for details.

Contact Joanne@CreativeMoment.im or 250-812-2501 if you have questions or are interested in one of the alternate ways to apply.


These are the sections in this form:
  1. Contact Info
  2. What you are interested in
  3. Experience with dance/art
  4. Access
  5. When you’re available
  6. Option for mentioning lived experience

1. Contact information:

Name (required):

Email (required for the online form):

Phone (optional):

Preferred form of contact:

  • ☐ Email
  • ☐ Phone
  • ☐ Other: _______

Pronouns:

Where do you live? (for example, city, community, territory, or town) (required question)


2. Interests:
This section asks about what you are interested in.

Why are you interested in this residency? How do you hope this residency will help your dance/art practice or future goals? (For example, what is important to me, what am I working towards)

  • [blank box for writing a paragraph]

Are you committed to the full duration of the residency from June 2022 to March 2023? (required question)

  • ☐ Yes
  • ☐ No
  • ☐ Other: ___

What creative role/s are you interested in? (check all that apply)

  • ☐ dancing (dancer/ co-choreographer)
  • ☐ describing the visuals (audio describer)
  • ☐ filming (director of photography)
  • ☐ helping guide the project (co-director)
  • ☐ video editing
  • ☐ other: _____

What skills would you like to learn, expand or cultivate?

  • [blank box for writing answer]

3. Experience:
This section invites you to mention your experience with dance or art.

Briefly describe your experience in dance, performance, film, art or creativity. Or, include a web link to an example of your dance, performance or film work (optional).

  • [blank box for writing a paragraph or adding a web link]

Are there skills or knowledge you would like to share with residency colleagues? (optional)

  • [blank box for writing answer]

Are you comfortable performing in front of an audience or having people witness your dancing/ movement in the screendance?

  • ☐ Yes
  • ☐ No
  • ☐ Other: ____

4. Access:
This section invites you to mention your access realities. Answers in this section will not impact the selection process.

What would support your access realities? (For example, sign language interpreter, captioning/transcriber, audio description, access buddy, note-taker, breaks, various ways to connect and communicate, brainstorming solutions to unreliable internet access, etc.)

  • [blank box for writing answer]

Do you have any questions, worries, concerns, or comments?

  • [blank box for writing answer]

5. Scheduling:
This section asks what times you would be available. Monthly workshops will be on Mondays. Weekly residency sessions will be for 2 hours either on Wednesdays or Thursdays.

On Mondays which times would you be available? (check all that apply)

  • ☐ 11:00am-1:00pm PST
  • ☐ 1:30pm-3:30pm PST
  • ☐ 3:30pm-5:30pm PST
  • ☐ Other _____

On Wednesdays which times would you be available? (check all that apply)

  • ☐ 11:00am-1:00pm PST
  • ☐ 1:30pm-3:30pm PST
  • ☐ 4:00pm-6:00pm PST
  • ☐ Other _____

On Thursdays would you be available from 4:15pm-6:15pm PST?

  • ☐ Yes
  • ☐ No
  • ☐ Other _________

6. Lived experience:
This section is optional and invites you to mention your lived experience.
To understand why we are asking this, click here to go back to the overview of who the residency is for and project intentions.

Do you identify as having lived experience of disability, neurodivergence, madness, spoonie-ness, chronic illness, intergenerational trauma, and/or membership in Deaf, Blindness, and/or Deaf/Blindness communities?

  • ☐ Yes
  • ☐ No
  • ☐ Other____

Do you self-identify as a person who is BIMPOC: Black, of African descent, Indigenous, First Nations, Inuk, Métis, Mixed, Multiracial, Person of Colour, and/or racialized?

  • ☐ Yes
  • ☐ No
  • ☐ Prefer not to answer
  • ☐ Other____

Do you self-identify as Two-Spirit, non-binary, trans, agender, and/or gender-nonconforming?

  • ☐ Yes
  • ☐ No
  • ☐ Prefer not to answer
  • ☐ Other____

Is there anything else you would like to mention?

  • [blank box for writing answer]

Thank-you for your application!

Option: Send me a copy of my form.

On the form click Submit.


If you are ready to fill in the online application form go to this link: https://forms.gle/EUYDNzHBXWudsV9k9