A p p l i c a t i o n f o r m
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Name:
Passport #:
Sex:
Address:
Telephone:
Email:
Date of Birth (Please use month name):
Day of the week you were born (Optional):
(We can give you your Ghanaian name based on this info)
Emergency Contact # in home country:
Contact Relationship:
For which month are you registering:
(Program starts on the first Monday of every month)
Which type of drum will you carve?
(May be declared upon arrival)
Are you now, or have you ever been engaged in any type of artisanry or
craftwork, either professionally or as a hobby? Please describe:
Do you drum or play any other musical instrument?
Please describe any current or past musical training:
What is your English proficiency?
Would you be willing to work with a carver whose English is limited?
Are you interested in taking drumming or dance lessons at the Art
Center?
Please state any dietary restrictions/preferences:
Would you be willing to share a room with someone of the opposite sex?
Do you have any medical or psychological condition that requires
special care? Please describe:
Have you ever been to Africa? If so, where?
Are there any specific activities you would like to do or places of interest
you would like to visit while in Ghana?
Any additional requests/comments:
How did you find Accra Artisans Exchange?
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EXCHANGE
ExCHANGE
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A r t i s a n r y and P e r f o r m a n c e in Ghana, West Africa
