Roulette Volunteer Applications

Primary Contact Information
Name *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Demographic Information (optional, encouraged)

Please respond to as many/few questions as you feel comfortable. Individual demographic information does not affect the review process and will not be shared.
Date of Birth

- Month - Day Year
Race/Ethnicity

African/African-American Arab/Arab-American Asian/Asian-American Caribbean/Caribbean-American European/European-American (White, Caucasian) Latin-American Native-American Pacific Islander/Pacific-Island-American South-Asian/South-Asian-American Other option
Gender

Female Male Non-Binary Transgender Other option
Sexuality

Bisexual Gay or Lesbian Queer Straight/Heterosexual Other option
Place of Birth
Are you a current resident of New York City?

Yes No It's complicated
Which borough?

Bronx Brooklyn Manhattan Queens Staten Island
Artist Information

You will have the option to add information for each artist, ensemble, or 3rd party affiliated with your proposal.
Primary Contact Affiliation Type *
Artist Name
If different from Primary Contact Name
Instrument

Composer Choreographer Dancer Conductor Lighting Designer Lyricist Poet Projections Scenic Designer Sound Design Video Visual Artist Accordion Bass Bassoon Cello Clarinet Cornet Drums Electronics Euphonium Flute French Horn Guitar Harp Intermedia Keyboard Kora Koto Multi-Instrumentalist Multimedia Percussion Piano Saxophone Shakuhachi Synthesizer Trombone Trumpet Viola Violin Vocalist Zalam Other option
Ensemble Name
Members
Please format: First Name, Last Name - Instrument/Role (one per line)
What is your role?

Artist Manager Booking Agent Curator Presenting Organization Representative Producer Record Label Representative Series/Festival Organizer Other option
Name of affiliated Organization, Company, Label, Series or Festival
Website
Short Bio
Is there another artist or ensemble affiliated with your proposal?

Yes No
Artist #2 Type
Artist Name
Instrument

Composer Choreographer Dancer Conductor Lighting Designer Lyricist Poet Projections Scenic Designer Sound Design Video Visual Artist Accordion Bass Bassoon Cello Clarinet Cornet Drums Electronics Euphonium Flute French Horn Guitar Harp Intermedia Keyboard Kora Koto Multi-Instrumentalist Multimedia Percussion Piano Saxophone Shakuhachi Synthesizer Trombone Trumpet Viola Violin Vocalist Zalam Other option
Ensemble Name
Members
Please format: First Name, Last Name - Instrument/Role (one per line)
Primary Contact

First Name Last Name
Primary Contact Role/Title
Primary Contact Email
Website
Short Bio
Is there another artist or ensemble affiliated with your proposal?

Yes No
Artist #3 Type
Artist Name
Instrument

Composer Choreographer Dancer Conductor Lighting Designer Lyricist Poet Projections Scenic Designer Sound Design Video Visual Artist Accordion Bass Bassoon Cello Clarinet Cornet Drums Electronics Euphonium Flute French Horn Guitar Harp Intermedia Keyboard Kora Koto Multi-Instrumentalist Multimedia Percussion Piano Saxophone Shakuhachi Synthesizer Trombone Trumpet Viola Violin Vocalist Zalam Other option
Ensemble Name
Members
Please format: First Name, Last Name - Instrument/Role (one per line)
Primary Contact

First Name Last Name
Primary Contact Role/Title
Primary Contact Email
Website
Short Bio
Is there another artist or ensemble affiliated with your proposal?

Yes No
Artist #4 Type
Artist Name
Instrument

Composer Choreographer Dancer Conductor Lighting Designer Lyricist Poet Projections Scenic Designer Sound Design Video Visual Artist Accordion Bass Bassoon Cello Clarinet Cornet Drums Electronics Euphonium Flute French Horn Guitar Harp Intermedia Keyboard Kora Koto Multi-Instrumentalist Multimedia Percussion Piano Saxophone Shakuhachi Synthesizer Trombone Trumpet Viola Violin Vocalist Zalam Other option
Ensemble Name
Members
Please format: First Name, Last Name - Instrument/Role (one per line)
Primary Contact

First Name Last Name
Primary Contact Role/Title
Primary Contact Email
Website
Short Bio
Organization Affiliations

Are there any organizations affiliated with this proposal such as Fiscal Sponsor, Artist Management, Series, Festival, Presenting Organization, Record Label, etc. ?
Yes No
Type of Affiliation

Artist Management Fiscal Sponsor Funder Presenting Organization Record Label Series or Festival Other option
Name of Affiliated Party
Website
Please briefly describe the nature of the affiliation
Is there an additional affiliated organization?

Yes No
Type of Affiliation

Artist Management Fiscal Sponsor Funder Presenting Organization Record Label Series or Festival Other option
Name of Affiliated Party
Website
Please briefly describe the nature of the affiliation
Is there an additional affiliated organization?

Yes No
Type of Affiliation

Artist Management Fiscal Sponsor Funder Presenting Organization Record Label Series or Festival Other option
Name of Affiliated Party
Website
Please briefly describe the nature of the affiliation
Project Information
Project Name *
Can be a working title, please keep it relatively brief
Project Description *
Roulette programs on a three-season schedule:

Winter (January - March) Spring (April - June) Fall (September - December)
In which season(s) would you like to present this project? *

Fall 2017 Winter 2018 Spring 2018 Fall 2018 Winter 2019 Spring 2019 Fall 2019 Winter 2020 Spring 2020 Fall 2020 Winter 2021 Spring 2021 Fall 2021 Winter 2022 Spring 2021 Fall 2021
Please indicate any additional time/date constraints
Do you have additional funding for this project? If so, please explain.
Such as a grant or commission.
Press Links
Work Samples
Work Sample Description
Should be Empty:

Primary Contact Information

Demographic Information (optional, encouraged)

Artist Information

Organization Affiliations

Project Information