Are you currently parenting or a primary caregiver of a dependent? *
What city do you live in? *
Your answer
What is your primary source of income? *
Your answer
How will these funds support you and/or your art practice? *
Your answer
How can other Black art moms support you? *
Your answer
Are you willing to provide support to other Black Art Moms? If so, what non-monetary support are you able to provide? *
Your answer
Please share a name and social media account/website of another Black Art Mom who could benefit from this fund.
Your answer
What is your preferred electronic payment method? (Please include your handle, email address, or phone number so we can verify that we are sending funds to the right account) *
Your answer
A copy of your responses will be emailed to the address you provided.