Artrepreneur Barrie ApplicationPlease complete the application form to be considered for the Artrepreneur Accelerator Program. Name * Current Address * CanadaUnited StatesMexicoUnited Kingdom-----AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArmeniaArubaAustraliaAustriaAzerbaijanAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet Island (Bouvetoya)BrazilBritish Indian Ocean Territory (Chagos Archipelago)British Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKazakhstanKenyaKiribatiKoreaKoreaKuwaitKyrgyz RepublicLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Netherlands)Slovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Business/Organization Name (if applicable) If not a Business/Organization, what idea would you like to pursue during the program? (if applicable) Email Address * Phone Number * Website (if applicable) Social Media Handles (if applicable) It is expected that Artrepreneur fellows will use a computer or smart phone throughout the program for regular email correspondence, access to curriculum files, completion and submission of tasks, etc. The next two questions will help us understand your access to and knowledge of the required technology so we can assist you to the best of our ability. Do you have access to a personal computer (desktop or laptop) or a smart phone? * Yes to bothYes, computer onlyYes, smart phone onlyNo Are you comfortable using the following: Mobile App, Word, Excel, PowerPoint, Internet, Google Drive, and/or Email? * YesNoNo, but I can figure it out What is your creative discipline? * (Include all that apply) What stage are you at in your creative Business/Organization/Idea? * Idea (one year or less)Start-up (between one and five years)Mid-career (between five and ten years)Established (more than ten years) Are you looking to: * Implement a new IdeaGrow your existing Business/OrganizationTake your Business/Organization in a new directionOther Tell us about your Business/Organization/Idea. Include any highlights, accomplishments or successes. * words. Please limit to 350 words or less. Tell us about yourself as a creative. * words. Please limit to 350 words or less. Why do you want to be a part of this program, and what do you hope to gain/learn/accomplish? * words. Please limit to 500 words or less. Please list any other entrepreneurial training you are currently in, or have taken. Include approximate dates UPLOAD: CV/Resume * Please name file as: ArtistName_Resume To further understand your Business/Organization/Idea, please upload support materials (if applicable). They can be one or a combination of the following: 5 JPG images of recently completed work. Label image files with a number, your name and title of piece (ex. 01_JohnSmith_BirchTrees) Samples of event/product/service flyers or brochures (JPG or PDF format), label files with a number, your name or the name of your organization and title (ex. 01_JaneDoe_DanceWorkshopFlyer) Maximum 2 minute video (paste URL in text box) Please email all support materials to GANESH@YORKREGIONARTSCOUNCIL.COM Support Material URL (if applicable) I have read and understand the Program Guidelines. * YesNo I would like my email to be added to the Creative Economy, City of Barrie's distribution lists. * YesNo I would like my email to be added to the Henry Bernick Entrepreneurship Centre, Georgian College's distribution lists. * YesNo I would like my email to be added to the Small Business Centre of Barrie, Orillia & Simcoe County's distribution lists. * YesNo I would like my email to be added to the York Region Arts Council's distribution lists. * YesNo How did you hear about Artrepreneur? * ---FacebookTwitterInstagramLinkedInEmail/eNewsletterFlyer/PostcardWorkInCultureSmall Business CentreWord of mouthOther If you are having any technical difficulties with the application form, please contact GANESH@YORKREGIONARTSCOUNCIL.COM