Thank you for your interest in joining the Patron Circle at Free Arts NYC. Please complete the application below to help us understand your background, expertise, and alignment with our mission. Applications are reviewed quarterly. Name * First Name Last Name Referred by (if applicable) Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Employer Name * Job Title * Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Type of business or organization * Primary service(s) and area/population served * Preferred method of contact * Email Text Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, and social). * Please list any organizations that you currently or have volunteered with and at what capacity. * Education / Training / Certificates * Why would you like to join the Patron Circle at Free Arts NYC? * How do you feel Free Arts NYC would benefit from your involvement on the Patron Circle? * Please write a short bio about yourself and any history or connection you have with Free Arts. * Skills, experience and interests * Please check all that apply. Finance, accounting Personnel, human resources Administration, management Nonprofit experience Community service Policy development Program evaluation Public relations, communications Education, instruction Special events Grant writing Fundraising Technology Graphic design Social media Other: Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Free Arts NYC. * Please tell us anything else you’d like to share. Talent/Demographics Assessment (Voluntary) Your talent and engagement is essential to advancing the mission of Free Arts NYC. Our aim is to strengthen and build a Patron Circle comprised of diverse talents, skills, lived experiences and perspectives. To achieve this, we seek to better understand the composition of our applicants. This assessment is aligned with the efforts of our governing board to build meaningful and lasting partnerships. They, too, have completed this assessment. Age Under 18 19-34 35-50 51-65 Over 65 Gender Woman Man Non-binary Prefer not to answer Sexual Orientation Straight Gay Lesbian Bisexual Queer Prefer not to answer Race & Ethnicity Select all that apply. African American / Black Asian / Pacific Islander Hispanic / Latino Middle Eastern Native American / First Nation White Other: Access to Networks Select all that apply. Arts Industry Connections to Communities Served Corporate Education Faith-based Organizations Government Agencies Health Care Media Philanthropy Political Small Business Social Services Other: Financial Resources Select all that apply. Money to give Access to potential donors Access to other resources (foundations, corporate support) Other: Qualities Leadership skills/motivator Willingness to work/availability Personal connection to the mission Personal Style Check two Catalyst for change Consensus builder Good communicator Mediator Implementer/gets things done Strategist/asks questions, active listener, problem solver Visionary Areas of Expertise Check four Administrative/management Advocacy Creative arts/artist, gallerist, fashion house, etc. Education Entrepreneurship Financial management: accounting Financial management: investments Fundraising Government Human Resources Knowledge of community served Legal expertise Lived experience Non-profit management/administration Marketing/public relations Physical plant/facilties Real estate Social media Strategic planning Technology Other Thank you for your application. Please note we review submissions quarterly. All submissions receive a reply. Patron Circle Inquiry Form ✷ Patron Circle Inquiry Form ✷ Patron Circle Inquiry Form ✷
