PROGRAM APPLICATION Our program is currently accepting applications for female Artists of Color ages 11-14 in Louisville. Participants receive a free laptop, a professional writing course, and a platform to share their stories. Name * First Name Last Name Email * Telephone Number * (###) ### #### Best time to contact for interview * Select time 09.00 AM 09.30 AM 10.00 AM 10.30 AM 11.00 AM 11.30 AM 12.00 PM 12.30 PM 01.00 PM 01.30 PM 02.00 PM 02.30 PM 03.00 PM 03.30 PM 04.00 PM 04.30 PM 05.00 PM 05.30 PM 06.00 PM 06.30 PM 07.00 PM Are you a single parent? * YES NO Do you have reliable transportation: * YES NO Please state why you are interested in enrolling your child in 300 for 300 * Daughter’s Name * Daughter's Date of Birth * MM DD YYYY In what area of Louisville do you currently reside (West End, Newburg, East End etc.) * Daughter’s Current Grade * Daughter’s School Name * Daughter’s Artistic Interest * Daughter’s Athletic Interest * Daughter’s Hobbies/Interest * Please record and share a video link of your daughter’s answer to the following question: Who do you dream of becoming and why? (Youtube, Vimeo, Google Drive, and Dropbox links all accepted) * YOUR PROPRIETARY RIGHTS * You shall retain all ownership rights in the User Content you submit to 300 FOR 300. By submitting the User Content, you hereby grant to 300 FOR 300, in perpetuity, a non-exclusive, royalty-free, sublicenseable and freely transferable license to use, reproduce, distribute, prepare derivative works of, display, adapt, reformat, and translate, all or any portion of the User Content for the purpose of telling the 300 FOR 300 story, throughout the universe, including, without limitation, advertising, marketing, promotion, and any and all ancillary and subsidiary rights, and redistributing part or all of the User Content (and derivative works thereof) without limitation, in any and all media formats and through any and all media distribution and advertising and promotional purposes, without accounting, notification, credit or other obligation to you. These rights include, without limitation, the absolute right to edit and/or alter any User Content distribute and synchronize all or any portion of your User Content in timed relation to any other visual elements; to web cast, pod cast, re-publish, re-broadcast, re-platform, port, syndicate, route, and link to and from all or any portion of your User Content; and to excerpt and/or extract portions of your User Content in order to host, store, index, categorize and display your User Content on or through other Platforms. 300 FOR 300 also has no obligation to use your User Content in any manner whatsoever. Click to Agree Thank you!
