Application Form

Application Form

Listening for a Change: Oral Testimony and Appalachian Heritage

A Folklife Field School Exploring Life Stories and Deep Listening in West Virginia

June 28-July 3^th, 2009; Elkins, West Virginia

Return completed form to Michael or Carrie Kline by email (kline@folktalk.org) or by regular mail at 114 Boundary Ave., Elkins, WV 26241. Questions? Call (304) 636-5444.

Please limit your response to the questions below to no more than two (2) pages.

Name:

Address:

Home phone #: Work phone #:

Email: Fax:

Occupation: Age:

1. How could the training you receive help you in your work?

2. Have you had previous training or experience with cultural documentation or gathering oral histories? If so, please describe it.

3. Do you want to arrange for academic or continuing education credits for this class? We will be happy to work with you in this regard.

4. Do you have any experience with or own any of the following equipment? If you own any equipment, would you be willing to bring it to the field school for your own use? (Previous experience with documentation equipment and the supplying of equipment are not prerequisites for the course.) Please respond below:

a camera:

_____________________________________________________level of experience _______ I own one. ____I can bring one.

portable tape recorder: _________________________________level of experience _______ I own one. ____ I can bring one.

Please fill out the section below to aid us in our planning.

Special needs: ___________________________________________________________

Dietary Restrictions: ______________________________________________________

TRAVEL:

By what means will you travel to the course? ___________________________________

Would you be willing to use your own vehicle for your field trips? _______

Will you need to be picked up at a bus or train station or an airport? ____________