Center for Creative Inquiry

Full name:

Email address:

Phone number:

Country of Residence:

Your website (if applicable):

If you are a member of a historically marginalized group that you would like to share, please list it here:

The following questions ask about the specific piece(s) you will be submitting. Please note that your form answers cannot be saved prior to submission, so you may wish to write your answers separately and then paste into these fields. If you wish, you may also submit your answers in a separate attachment or share a Google Doc.

Title of Piece:

Medium:

Description of Work:

Description of Creative Process:

Describe the ways you hope your work will challenge prevailing assumptions or make a real world impact:

Creator Bio:

If your work is shared on Dropbox or Google Drive, include the link here.

If you would like to attach your piece directly, you may do so here. File formats accepted by this form include PDF, Word Doc, JPG and PNG. File size limit is 10 MB. If you have a different format or bigger size, please email separately to cci@creativeinquiry.org.