Propose a Project

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    <div class="field-block narrow">
        <label for="form-title">Proposed program title</label>
        <input type="text" id="form-title" name="title" placeholder="e.g. Talking To Strangers" value=""/>
    </div>
    <div class="field-block narrow">
        <label for="form-time">Proposed date and time</label>
        <input type="text" id="form-time" name="time" placeholder="e.g. Oct 13, 2002; 6-8pm" value=""/>
    </div>
</div>

<label for="form-slought_role">What type of program are you proposing?</label>
<input type="checkbox" name="program_type[]" value="Public Conversation/Symposium">Public Conversation / Symposium
<input type="checkbox" name="program_type[]" value="Workshop/Seminar">Workshop / Seminar
<input type="checkbox" name="program_type[]" value="Performance/Screening">Performance / Film Screening
<input type="checkbox" name="program_type[]" value="Exhibition">Exhibition
<input type="checkbox" name="program_type[]" value="Other">Other

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    <div class="field-block narrow">

<label for="form-slought_role">How is Slought involved in this program?</label>
<input type="checkbox" name="slought_role[]" value="Organizer">Organizer  
<input type="checkbox" name="slought_role[]" value="Contributor">Contributor    
<input type="checkbox" name="slought_role[]" value="Venue">Venue

<label>Where is this program located?</label>
<input type="checkbox" name="mode[]" value="Philadelphia">Philadelphia
<input type="checkbox" name="mode[]" value="World">World
<input type="checkbox" name="mode[]" value="Cloud">Cloud

<label for="form-partners">We undertake our programs in partnership with individuals and organizations.  Who are your potential partners for this program?</label>
<textarea id="form-partners" name="partners" cols="20" rows="3"></textarea>


        <label>Nine values guide our organization. Which values does your program engage?</label> 
                    <ul class="checkbox-list">
         <li><input type="checkbox" name="slought_values[]" value="Urgency">Urgency</li>
        <li><input type="checkbox" name="slought_values[]" value="Resistance">Resistance</li>
        <li><input type="checkbox" name="slought_values[]" value="Partnership">Partnership</li>
        <li><input type="checkbox" name="slought_values[]" value="Process">Process</li>
        <li><input type="checkbox" name="slought_values[]" value="Geographies">Geographies</li>
        <li><input type="checkbox" name="slought_values[]" value="Publics">Publics</li>
        <li><input type="checkbox" name="slought_values[]" value="Dialogue">Dialogue</li>
        <li><input type="checkbox" name="slought_values[]" value="Display">Display</li>
        <li><input type="checkbox" name="slought_values[]" value="Exception">Exception</li>
                    </ul>
         <p style="margin-top: 6px;"><a href="/introduction/values" target="_blank">Learn more about these values »</a></p>


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        <label for="form-your_values">What additional values does your program bring to Slought?</label>
        <input type="text" id="form-your_values" name="your_values" value="" />

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  <label for="form-fields_of_knowledge">The following fields of knowledge inform our programs and collaborations. Which fields might your program engage?</label>  

• Advocacy & social justice
• Aesthetics & media
• Artistic legacies
• Community development
• Curatorial practice
• Design
• Health & sustainability
• Memory
• Pedagogy
• Performance
• Philosophy & theory
• Politics & economics
• Public culture

</div>

<label for="form-description">Provide a brief description or curatorial statement of your program   below. Include a discussion of how and why it is culturally or socio-politically significant.  </label>
<textarea id="form-description" name="description" cols="50" rows="10"></textarea>

<label for="form-budget">If your program requires a budget, what is your strategy?</label>
<textarea id="form-budget" name="budget" cols="50" rows="3"></textarea>


<label for="form-affiliation">Are you affiliated with Penn?</label>
<input type="checkbox" name="affiliation[]" value="SAS">School of Arts and Sciences
<input type="checkbox" name="affiliation[]" value="SP2">School of Social Policy and Practice
<input type="checkbox" name="affiliation[]" value="Annenberg">Annenberg School for Communication
<input type="checkbox" name="affiliation[]" value="Other">Other
<input type="checkbox" name="affiliation[]" value="None">No Affiliation


<label>Contact</label>
<input type="text" id="form-name" name="name" placeholder="First Name Last Name" value=""/>
<div class="field-row">
    <input class="narrow" type="text" name="email" placeholder="Email" value="" />
    <input class="narrow" type="text" name="phone" placeholder="Phone" value="" />
</div>

<button class="button" type="submit">Submit</button>