The Home Project: Application

Preliminary Questionnaire for Photo Participants

First name

Last name

Phone

Care organization(s) you are affiliated with

Please answer the following questions to the best of your ability

Why are you interested in participating in The Home Project?

What does "home" mean to you?

How would you describe yourself?

What is your cultural heritage?

Where do you go to find peace in your life?

What would you say is your biggest challenge/barrier to health and happiness?

What do you care the most about?

You will receive $200 for participating in this project.

A series of photographs will be taken of you and/or your family which will then be rendered by local artists.

Photographs of you and artwork derived from your image will be publicly displayed in one or more art galleries alongside your personal story.

Thank you so much for filling out this initial intake form. We will contact you or your care organization about next steps.

Kindly,

The Heartisan Foundation Team