Arts & Culture Teaching Artist and Program Survey
Teaching Artist Name
*
First Name
Last Name
Organization Name (if applicable)
Contact Name (if other than teaching artist)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Website
*
Facebook Handle
Instagram Handle
County in which you reside
*
Artist Bio (please provide a summary of significant facts about your art career)
*
Artist's Statement (please provide a brief description of your work that shapes the viewers' perspective when they are looking at your art or watching your performance)
*
What program formats do you offer?
*
On-Site Programs
Off-Site Programs
Artist Residency
Private Lessons
Summer Programs
Virtual Programs
What type of arts & culture education programs do you offer?
*
Visual Art
Music
Dance
Theatre
Historical/Cultural
Folk Art
Multidisciplinary Arts
Language/Literacy
What ages/grades do you work with?
All Ages
Elementary
Middle School
Highschool
K-12
Adult
Senior
Do you have a current background check?
Yes
No
I don't know
What schools or districts do you work with, or have you worked with in the past three years?
What programs do offer? *EACH PROGRAM LISTING MUST INCLUDE 1.) PROGRAM DESCRIPTION, 2.) PROGRAM LENGTH, 3.) AGE GROUP, 4.) PROGRAM PRICE, 5.) TRAVEL FEE, 6.) PARTICIPANT LIMIT
Please provide us with 1-2 testimonials. *Include the name of the person giving the testimonial and associated program.
Please upload 2-3 images of your work (.jpg or .pnc HiRes 1920px x 1280px) - *Name the file the title of the work pictured - e.g. PHOTOTITLE.jpg
Please upload 2-3 images of your work (.jpg or .pnc HiRes 1920px x 1280px) - *Name the file the title of the work pictured - e.g. PHOTOTITLE.jpg
Please upload 2-3 images of your work (.jpg or .pnc HiRes 1920px x 1280px) - *Name the file the title of the work pictured - e.g. PHOTOTITLE.jpg
Please provide a recent headshot or photo of yourself. (.jpg or .pnc HiRes 1920px x 1280px)
Submit
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