SHARE YOUR REFLECTION The project asks participants to share their reflections in two ways – digitally and physically. By filling out the form below, your reflection will live on our website as a part of our diverse and growing community. Furthermore, if you are able, we are asking to borrow your mirror to help compose the art installation. The stories and mirrors will be paired in the final installation for visitors to enjoy. Of course, we understand that not everyone wants to share publicly. You are able to fill out the below anonymously (email is for internal use only). First Name (Optional) Please note that this form can be filled out anonymously. Last Name (Optional) Email * Or a phone number too. We would like a way to update you on the project. For internal use only. Yale Affiliation, Organization or Community (church, school, etc. Optional.) City and/or Zip Code (Optional) Birth Year (Optional) We view Espejismo participants as living artists and want to list them that way, in the same way the MoMA lists its artists. You self identify as: * Examples: Avid reader, Scientist, Teenager, Mother, Farmer, etc. Frame yourself as you wish. Reflection: When people see you, what would you like them to know? * Typical responses average ~one paragraph. We ask for thoughtful responses to respect the community that we are building together. Self-portrait of your choosing (Optional) Examples: selfies, portraits, drawings, and any creative expression of yourself is welcome. Do you have a mirror that you would be willing to let us borrow for the installation from April 24th to April 30th, 2017? * Yes No We accept any type of mirror from makeup- to closet-sized. We will do our best to ensure proper care of your mirror, but please note that limeSHIFT nor Yale SOM are liable for any damages that may occur. If yes, are you able to drop it off in New Haven, CT from April 17th – 21st? Yes No We will follow up with specific drop off details. If yes, enter dimensions (in inches, optional): Width Height Are you interested in pledging a specific community whose voice you are interested in magnifying? (Optional) Yes No If yes, please enter Number of reflections you hope to collect Name of the community Name of the community Why is this community important? Why is this community important to include in the project? Email Submit
SHARE YOUR REFLECTION The project asks participants to share their reflections in two ways – digitally and physically. By filling out the form below, your reflection will live on our website as a part of our diverse and growing community. Furthermore, if you are able, we are asking to borrow your mirror to help compose the art installation. The stories and mirrors will be paired in the final installation for visitors to enjoy. Of course, we understand that not everyone wants to share publicly. You are able to fill out the below anonymously (email is for internal use only). First Name (Optional) Please note that this form can be filled out anonymously. Last Name (Optional) Email * Or a phone number too. We would like a way to update you on the project. For internal use only. Yale Affiliation, Organization or Community (church, school, etc. Optional.) City and/or Zip Code (Optional) Birth Year (Optional) We view Espejismo participants as living artists and want to list them that way, in the same way the MoMA lists its artists. You self identify as: * Examples: Avid reader, Scientist, Teenager, Mother, Farmer, etc. Frame yourself as you wish. Reflection: When people see you, what would you like them to know? * Typical responses average ~one paragraph. We ask for thoughtful responses to respect the community that we are building together. Self-portrait of your choosing (Optional) Examples: selfies, portraits, drawings, and any creative expression of yourself is welcome. Do you have a mirror that you would be willing to let us borrow for the installation from April 24th to April 30th, 2017? * Yes No We accept any type of mirror from makeup- to closet-sized. We will do our best to ensure proper care of your mirror, but please note that limeSHIFT nor Yale SOM are liable for any damages that may occur. If yes, are you able to drop it off in New Haven, CT from April 17th – 21st? Yes No We will follow up with specific drop off details. If yes, enter dimensions (in inches, optional): Width Height Are you interested in pledging a specific community whose voice you are interested in magnifying? (Optional) Yes No If yes, please enter Number of reflections you hope to collect Name of the community Name of the community Why is this community important? Why is this community important to include in the project? Email Submit
