Artist Intake
Email
*
example@example.com
Company
*
First Name
*
Last Name
*
Preferred Artist Name
Link to your Portfolio (Website/Instagram et cetera)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City
Zip Code
Do you have experience painting murals/public art?
Yes
No
Do you have experience creating commissioned artwork?
Yes
No
If you don't have experience painting murals/public art or creating commissioned artwork, do you have an interest in developing the skills and experience to do so?
Yes
No
Do you have experience facilitating art workshops?
Yes
No
If you don't have experience facilitating art workshops, do you have an interest in developing skills and experience to do so?
Yes
No
Which communities (if any) do you have experience working with? (Mark all that apply)
General Population
Youth
Elderly
Elderly (with Memory Care)
Vulnerable Adults
Vulnerable Youth
Are you an artist/creative interested in vending their work at events and festivals?
Yes
No
Uploads
Please submit up to 5 images exemplifying your work and experience.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload your resume/CV if available
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How Did You Hear About Us?
Word of Mouth
Please Select
Yes
No
From a Current/Past Artist in Residence
Please Select
Yes
No
Advertisements
Please Select
Yes
No
Viewing Mural Work/Public Art Empowered by Local Color
Please Select
Yes
No
Social Media
Please Select
Yes
No
Volunteer Event
Please Select
Yes
No
Tabling Events
Please Select
Yes
No
Previous Client
Please Select
Yes
No
Internet Search
Please Select
Yes
No
Other
Please Select
Yes
No
Are you interested in sharing your contact information in a public artist roster on our website?
Yes
No
Demographics
Sometimes, we get opportunities that require participating artists to possess certain cultural competencies. Completing this section is optional, but may help us connect clients and partners with the right artists. Demographic information from this artist intake will be kept internal.
How do you identify your ethnicity/cultural background?
Are you within the LGBTQ+ community?
Yes
No
Which gender do you identify as?
Male
Female
Non-binary
Transgender
Prefer not to say
Other
Other Gender
Submit
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