Storytellers’ Institute Application
Summer 2016
(1) Personal Information (Name, Address, Contact Information)
First Name:
Last Name:
Mailing Address:
Street:
City:
State:
Zip Code:
E-mail address:
Phone Number:
(2) Professional Information
(Education Level, Documentary Media, Social Media Profile

Most Advanced Degree (please identify);
__ PhD


__ MFA
__ MA
Institution: ________________
Degree date:
__ Year: 2000 or later
__ 1900-2000
__ BA/BS
__ 1980-1990
Other: __________
__ Before 1980
(3) Social Media Profile:
Facebook: __________________
Youttube: __________________
Linkedin: __________________
Instagram: __________________
Twitter: __________________
Pinterest: __________________
Vimeo: __________________
Other:
_______________
Soundcloud: __________________
(4) Primary Documentary Media: (Select all that apply)
__ Audio
__ Multimedia
__ Video
__ Exhibition
__ Photography
__ Archive
__ Written Word
__ Other (Please specify:) __________________
(5) Work Examples
Links to Samples of Your Work:

Please provide links to 2-3 examples of your documentary work or project (s) available for
consultation on the Web.
1)
2)
3)
(6) Project Description

In 300-500 words, please briefly describe the project you would bring and its goals and what
you hope to accomplish towards those goals in the Institute.
TEXT HERE:
(7) Statement of Purpose:
o
In up to 750 words, please describe how summer program fits into your academic,
professional and future plans. Please be specific. For example:
• Discuss your training, ethos, driving interests, and how they connect with the mission of
MDOCS and documentary as part of the liberal arts
• Indicate any special skills, interdisciplinary approaches or international experience that
you bring to the program.
• State your experience creating one or more of the following; film/video, photography,
audio, exhibitions, archival projects, documentary non-fiction, or new media.
• State your experience in teaching or mentoring documentary work
TEXT HERE:
(8) LETTER OF REFERENCE.
o
Please provide one academic or professional letter of reference that speaks both to your
project and your personal trajectory. Your referee should submit the letter directly to
storytellersinstitute (@) skidmore.edu
By submitting this application, you certify that information contained herein is true
and complete. I understand that false information may be grounds for not selecting
me or for revocation of my invitation. I authorize the verification of any or all
information listed above.