Local Sirens Artist Recording Residency Application "*" indicates required fields Step 1 of 4 - Contact Information 25% HiddenCONTACT INFORMATIONFirst Name* Last Name* Email* Type*-- select --PersonalWorkAlternatePhone*Type*-- select --HomeWorkMobileOtherHiddenHome Phone HiddenWork Phone HiddenMobile Phone HiddenOther Phone Address* Street Address City State / Province / Region ZIP / Postal Code SelectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Preferred Contact Method* Email Phone How did you hear about Women's Audio Mission?*-- select --WebsiteSocial Media (Facebook)Social Media (Twitter)Social Media (Instgram)Social Media (Tiktok)Social Media (LinkedIn)Internet SearchNewsletterFriend ReferralWAM EventPartner Event EXPERIENCEDescribe your experience as a songwriter or composer.*Describe the music project for which you need studio time.*Why is this a critical time for you to receive support/studio time?*How many original songs or musical pieces do you have ready for recording? You must have at least eight (8) songs to be considered for the residency.*Please outline your performance history - dates, venues, with what artists, etc.*Link to your artist social media Link to your website (if you have one) Why do you want to work with Women's Audio Mission on your project?* WORK SAMPLESPlease provide at least one video url of recent performance.Work Sample #1* Work Sample #2 Work Sample #3 DEMOGRAPHIC INFORMATIONThese questions are optional. Women's Audio Mission is a 501c3 non-profit organization, and most of our funding comes from grants from governments and foundations. In order to support the grant-writing process, we are asked to collect data to report on who our programs are serving. Please help us continue to receive these funds by sharing the information below. This information will not be shared other than as percentages -- no personal or identifying information will ever be shared.What are your preferred pronouns? In what year were you born?202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930What is your racial and ethnic identity? (select any/all that apply) Aboriginal/Indigenous/Native-American/Alaska Native Arab/Middle Eastern Asian Black/African-American/African Diaspora Latinx/Latin American Native Hawaiian/Pacific Islander White/Caucasian Other Prefer not to disclose Other ethnic identities / heritage: What languages are commonly spoken in your home? Arabic Cantonese English Japanese Mandarin Spanish Tagalog Vietnamese Other Prefer not to disclose Other language: What is your gender identity? (select any/all that apply) Cisgender woman Intersex Non-binary Gender nonconforming Transgender woman Two-Spirit Transgender Man Cisgender man Other Prefer not to disclose Other gender: Do you identify as a member of the LGBTQIA community? Yes No Unsure Prefer not to disclose Are you a person with a disability? Yes No Not Sure Prefer not to disclose Please describe any accommodations that might be of benefit to you during this class/event.What is your household income?-- select --Less than $20,000$20,000 to $34,999$35,000 to $49,999$50,000 to $74,999$75,000 to $99,999$100,000 to $149,000$150,000 to $199,000$200,000 to $299,999$300,000 to $399,999$400,000 to $499,999$500,000 or abovePrefer not to discloseWhat is your current employment status?-- select --Employed full time (40 or more hours per week)Employed part time (up to 39 hours per week)Unemployed and currently looking for workUnemployed and not currently looking for workStudentRetiredHomemakerSelf-employedUnable to workPrefer not to discloseWhat is the highest level of formal education that you have completed?-- select --Less than a high school diplomaHigh school degree or equivalent (e.g. GED)Some college, no degreeAssociate degree (e.g. AA, AS)Bachelor's degree (e.g. BA, BS)Master's degree (e.g. MA, MS. MEd)Professional degree (e.g. MD, DDS, DVM)Doctorate (e.g. PhD, EdD)Is there anything else you would like to share about your personal identity?Send me announcements and monthly newsletters. Opt in Thank you for providing this information. This information will not be shared other than as de-identifiable statistics -- no personal or identifying information will ever be shared.