Name *

First Name

Last Name

What is your gender?

Female

Male

Non-binary

Prefer not to say

Transgender Male

Transgender Female

Gender Queer

Gender Fluid

Other

Which of the following best describes your ethnicity?

Black or African American

Asian

White

Hispanic or Latinx

Native American or Alaskan Native

Native Hawaiian or Pacific Islander

Middle Eastern or North African

Other

Conduct Policy *

Yucca Valley Material Lab is committed to a policy of nondiscrimination and equal opportunity for all persons regardless of race, sex, color, religion, creed, national origin or ancestry, age, marital status, sexual orientation, gender identity, and gender expression. I have read and understand the conduct policy of YVML.

Yes

No

Oregon-based Artists Criteria *

As an Oregon-based artist applying for a YVML residency supported by The Ford Family Foundation do you meet the following criteria? •Currently producing work in the fields of visual arts or contemporary craft; •Domiciled in Oregon for 36 months prior to the application deadline; and •Have evidenced, through appropriate documentation, five (5) or more years of active professional participation in the field of visual art.

Yes (if yes, answer the following questions)

No

Work Files, click yes when files have been transferred *

Send work files through WeTransfer (www.wetransfer.com) to info@yvml.org. Work must have been completed within the past four years Visual Artists : 8 images of work. Only one artwork per image unless it is an installation view. Images (up to 3MB each), Video (up to 250MB each), and Audio (up to 30MB each). Label each file to correspond with Work Inventory list: Lastname_firstname_number (ex. Smith_Jane_01)

Yes

No