USA Application Form Please fill out one form for each program you wish to enroll in.Please enroll me in your 2023-2024:*ArtLink Program for 3rd-12th grade classesArtLink Program with IVC (Interactive Video Conferencing) for 3rd-12th grade classesArtLink Program EXPANDED with 2 IVC's (Interactive Video Conference) 1 introduction at beginning and 1 at the conclusion after art exchange 3rd-12 grade classesRainForest ArtLink Program with IVC (Interactive Video Conferencing) for 3rd-12th grade classesArtLink Taiwan with IVC (Interactive Video Conferencing) for 7th -12th grade classesWe know this is a challenging time, and we want to work with you. Please contact Miguel Barreto at mbaretto@creativeconnections.org for fee structures, including sliding scale pricing and underwriting support.Discount of 10% for schools enrolling 3 or more classes. Maximum discount: 10% Do not send payment with this form. Your school will receive an invoice once the program is launched. If applying for underwriting support, fill out the underwriting request section near the end of this form.General InformationName of SchoolName of Principal, Director or School HeadSchool PhoneSchool FaxSchool Address, StreetAddress Line 2CityStateZip/Postal CodeSchool Year Details: Opening, Closing and Major Vacation Dates:Teachers participating in the program:Our programs are designed to be an interdisciplinary study. Please provide information for the primary contact and any other participating teacher:Primary TeacherName of TeacherSubject TaughtEmail Teacher's Cell PhoneBest Time to Phone Teacher at SchoolTeacher's Home PhoneTeacherName of TeacherSubject TaughtEmail Teacher's Cell PhoneBest Time to Phone Teacher at SchoolTeacher's Home PhoneTeacherName of TeacherSubject TaughtEmail Teacher's Cell PhoneBest Time to Phone Teacher at SchoolTeacher's Home PhoneParticipating Class InformationPlease fill an additional form for each class participatingNumber of classes participatingAge(s)Grade(s)Class Size Does your class have internet access? Address to send information to (if different than school address):Address, StreetAddress Line 2CountryPlease choose...AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweStateTown/CityZip/ Postal CodeCreative Connections gives limited need-based underwriting for classrooms to participate in our programs. If applying for underwriting, please state the basis for your financial need including your free and reduced lunch aid eligibility:Partner Country RequestsYou have the opportunity to indicate the specific country(ies) you wish to partner with. We will endeavor to give you your 1st, 2nd or 3rd choice, but please be aware that we have a limited number of partner classes at any given grade level in each country. If your preference country is unavailable, we will contact you as soon as possible to discuss alternative choices. Please indicate your 1st, 2nd and 3rd choices below.First ChoicePlease indicate your 1st choiceBrazil RFALChinaCyprusEnglandGuatemala RFAL with IVCIndia with IVCJapanJordan with IVCKenya with IVCMexicoLatviaNigeriaRussia with IVCSri LankaTaiwanThe GambiaTurkeyUganda with IVCSecond ChoicePlease indicate your 2nd choiceBrazil RFALChinaCyprusEnglandGuatemala RFAL with IVCIndia with IVCJapanJordan with IVCKenya with IVCLatviaNigeriaRussia with IVCSri LankaSpainTaiwanUganda with IVCThird ChoicePlease indicate your 3rd choiceBrazil RFALChinaCyprusEnglandGuatemala RFAL with IVCIndia with IVCJapanJordan with IVCKenya with IVCLatviaMexicoNigeriaRussia with IVCSri LankaSpainTurkeyTaiwanUganda with IVCThe pieces we select for the International Children’s Art Exhibit and other applications become property of Creative Connections. We use these pieces for a range of educational purposes, including “live” and website exhibitions, classroom workshops and for public relations purposes. We may also use any and all art including reproductions of the art pieces to share with art educators and young artists around the world and in other ways to support Creative Connections’ mission of providing cultural education programs to the world’s children in the years ahead.NoteAcknowledgement* By checking this you understand and agree that any artwork created in the program and submitted to Creative Connections may appear in art shows, online exhibitions, on social media and in other Creative Connections’ publications. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Share this:
