2019 Bloomberg Arts Internship Application

2019 Bloomberg Arts Internship Application

UPDATE - Rolling Applications: Applications will continue to be reviewed through the month of April. Before you begin: This form will require you to submit a current transcript or report card, and an attendance record. Have those ready! If you have questions, email Tom Bonner at TomB@Philaculture.org. Please Note: The Bloomberg program is only accepting applications from current high school juniors attending a Philadelphia public school or public charter.
Name *

First Name Last Name
Today's Date *

Month Day Year
Date Date Picker Icon
Date of Birth *

Month Day Year
Date Date Picker Icon
Your email address *
example@example.com

Home address *

How do you describe yourself? *

Female Male Transgender Gender nonconforming I prefer not to reply
Do you consider yourself Hispanic/Latinx *

Yes No I prefer not to reply
Which of the following best describes you? *

American Indian or Alaska Native Asian Black or African American White I prefer not to reply
What languages, other than English, are spoken in your home? (Leave blank if English is the only language)
School name *
NOTE: We are only able to accept applications from public/charter schools in the city of Philadelphia
What grade will you be entering in fall 2019? *

Freshman Sophomore Junior Senior I will have graduated
Do you receive free or reduced price lunch?

Yes No I prefer not to reply

WRITING PROMPTS
Why do you want to participate in the Bloomberg Arts Internship? Please answer in two or three sentences.
Thinking back on your own experience, please tell us about a significant or memorable encounter you had with an artwork, book, or performance. Note that this need not have been a formal or ticketed experience--it could be listening to a choir, looking at a mural on the street, or reading to a sibling. Please answer in a few paragraphs (about 500 words).

To better understand the impact of the internship program, we need to collect some information on your academic performance.
Please upload a current school transcript OR last June's report card and a current report card. *

Browse Files

Cancel of
Please upload a record of your school attendance (unless you uploaded a transcript with attendance information). *

Browse Files

Cancel of
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm