Artists Emergency fund application Name * First Name Last Name Pronouns Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Artistic Discipline * How did you learn of the Artists Emergency Fund? Artist's Statement * A few sentences that describe you, your work and why you make art. Declaration of Need * Please let us know if you are applying due to lost income, or if you are facing housing, food or healthcare insecurity. Proof of Practice * Proof of artistic practice is required. Please provide a link to a website with your artistic work or your CV. http:// How much are you requesting from the Fund? (Up to $1000) Are you a member of Austin Creative Alliance? yes no Terms and Conditions * I hereby state that all elements of this application are true. I understand that this application is subject to approval by Austin Creative Alliance and available funding. Demographics Information The following info is used for ACA's grant writing and grant reporting, and is not used in our funding decision process. It is optional, but much appreciated so we have a better idea of who we serve. All information in this application form is protected through data encryption. What is your ethnicity? What is your gender? What is your age? What is your Austin City Council District Number? Your application has been received! Due to the large number of applications, we may not be able to respond to all applicants or respond to emails and phone calls checking on your application. If you do not hear from us, there is no need to re-apply. All applications are saved and are reviewed again each time we begin a new round of funding.