Summer Residency Student Assistantship Registration If you are a student who has been chosen by their school to attend a summer residency session, please fill in your information below. "*" indicates required fields Name* First Last Mailing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email*This will be the email address that Watershed will use to correspond with you. Enter Email Confirm Email Funding Institution*School NameTell Us About YourselfWe ask these questions to provide you with appropriate meals and to help us better pair roommates, as well as cabin-mates who will share common areas and bathroom facilities. Please share any specific requests or information pertaining to how Watershed can make you most comfortable in the Additional Information section below. Birthdate* MM slash DD slash YYYY Pronouns*Please share your pronouns (i.e. they/them, she/her, he/him, etc). Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you.Gender IdentityPlease describe your gender identity (i.e. nonbinary, man, woman, etc). This information is not shared with anyone.Preferred Roommate Gender IdentityPlease describe your preferred roommate gender identity (i.e. nonbinary, man, woman, etc). You can write "ANY/ALL" if you do not have a preference.Dietary Restrictions*Check all that apply. If you have additional dietary restrictions, please explain your needs in "Additional Info" below. I don't have any dietary restrictions Vegetarian Vegan Gluten Free Dairy Free Other, I will explain in "Additional Info" below Additional InformationIf you wish, please use the space below to share any information pertaining to your wellbeing that Watershed staff should be aware of prior to your residency. This can include dietary information, accessibility needs, etc. Social Media/WebsiteIf you'd like, please share your social media handles or website URL below.Theme PreferenceWatershed does its best to accommodate student's preferences for session dates & theme, HOWEVER spaces are limited and some themes may be more popular than others. Please note that you may not be assigned to your preferred session dates or theme. First Choice Residency Session*I: Jun 1 - 12, Drawing it OutII: Jun 15 - 26, Digital Clay 2.0III: Jun 29 - July 10, Making the Thing to Make the ThingIV: Jul 20 - 31, Thinking Through The BodyV: Aug 3 - 14, Navigating Change in Creative PracticeVI: Aug 17 - 28, Restoring the Balance Between Teacher & MakerSecond Choice Residency Session*I: Jun 1 - 12, Drawing it OutII: Jun 15 - 26, Digital Clay 2.0III: Jun 29 - July 10, Making the Thing to Make the ThingIV: Jul 20 - 31, Thinking Through The BodyV: Aug 3 - 14, Navigating Change in Creative PracticeVI: Aug 17 - 28, Restoring the Balance Between Teacher & MakerAgreement.*Watershed assistants perform a variety of tasks during their residency that equals 3 hours of labor each week day. Assistants help with washing dishes and cleaning up before and after meals, to helping in the studios and performing grounds maintenance. I understand that as an assistant, I agree to work for Watershed for 3 hours each week day that I am in residence. Photo Release*I agree to grant Watershed Center for the Ceramic Arts and its authorized representatives permission to record my likeness and images of my work during the time that I am in residence. I further agree that any or all of the recorded material may be used, in any form, as part of publications, videos, brochures, advertisements or other digital or printed materials used to promote Watershed. I acknowledge that since the use of my likeness and my work is voluntary, I will receive no financial compensation. Agree Decline E-mail Address Release*I grant Watershed Center for the Ceramic Arts permission to share my e-mail address with all other members of my residency group, in order to facilitate conversations around communal goals, kiln firings, travel, etc. Agree Decline Health & Safety Guidelines*In 2023, Watershed was forced to cancel a residency mid-session due to a majority of artists contracting Covid-19. We cannot predict what health and safety measures will be in place for 2026 residencies and Watershed reserves the right to adjust policies and protocols. We ask that you read and familiarize yourself with our most recent policies before submitting your non-refundable deposit. Read the Guidelines here. I have read and agree to Watershed's anticipated COVID-19 guidelines. Liability Waiver*Please read Watershed's Liability Waiver, and check the box below to indicate your voluntary agreement. If you have any questions regarding the Liability Waiver, you may email Watershed's Executive Director at director@watershedceramics.org. By checking this box, I indicate that I have read the entire Liability Waiver, I fully understand it, I am agreeing to it voluntarily and I agree to be legally bound by it. Δ