Student Membership Application
General Information
Student Name
*
First Name
Middle Initial
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Birth Date
*
-
Month
-
Day
Year
Date
Membership Requirements
Name of College/University
*
Degree
*
College/University Graduation Date
*
-
Month
-
Day
Year
actual or expected
Years of Printmaking Experience
*
Please give a brief description of your printmaking experiences, such as courses taken, printmaking emphasis, projects, etc.
*
Membership Option
*
$25 single session Open Studio Student Membership
$85/ month entry level access Student Membership
Printmaking Instructor's Contact Information
We reach out to your instructor as a reference to your proficiency in a community print shop
Printmaking Instructor's Email
*
example@example.com
Submit
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