RILA Directory Form
Please fill in the form below.
Your Name
*
What are your preferred Pronouns?
Optional
This is (Choose one):
A new entry (never been listed)
An update to my existing entry
Name of Group (if applicable)
*
Write n/a/ if not applicable
Contact Person
*
Write SAME AS ABOVE if applicable
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can we include your street address on our website?
*
Yes
No
Phone Number
*
Format: (000) 000-0000.
Can we include your phone number on our website?
*
Yes
No
Discipline or Category
*
Dancer
Graphic Designer
Musician
Painter
Sculptor
Theatrical Performer
Cultural Group or Organization
Dance Group
Musical Group
Theater Group
Festival
Local Latino Eatery
Local Latino Organization
Storyteller
Photographer
Poet/Spoken Word
Podcast
Singer/Vocals
Writer
Other
Description or Artists Statement:
*
This section gives you the opportunity to tell a little about yourself, your training, your philosophy, whatever. Be sure to include your preferred terminology for the type of art you do. Be brief but don't cut yourself short from what you would like to say.
Do you charge a fee?
*
Yes
No
Do you consider yourself a Teaching Artist?
*
Yes
No
I am interested in mentoring an emerging artist?
*
Yes
No
I am looking for a mentor
yes
no
How did you learn from us?
*
Friend
Event
Internet
Social Media
Other
Attach a head shot or other photo of yourself
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Attach a group photo (if applicable)
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Please send 6x4 or larger at least 300dpi
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Attach a second photo (suggested)
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Please send 6x4 or larger at least 300dpi
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Attach a third photo (optional)
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Choose a file
Please send 6x4 or larger at least 300dpi
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of
Attach a fourth photo (optional)
Browse Files
Drag and drop files here
Choose a file
Please send 6x4 or larger at least 300dpi
Cancel
of
I prefer to E-Mail my photo(s):
yes
no
Enter the message as it's shown
*
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