Region 2 Arts Council Artist Registration Form Name: Address: City: State: Zipcode: County: Beltrami Clearwater Hubbard Lake of the Woods Mahnomen Other Anishinabe county Work Phone: Home Phone: E-mail: General Category: Primarily,what type of artist do you consider yourself? Check the area of your primary artistic interest or ability: (Choose one that defines your primary category.) music artist visual artist dance artist theater artist media artist literary artist Specific Areas: In which of the areas below do you have expertise? Include your primary as well as other areas where you have strong interest/ability. You may check more than one: THEATER VISUAL ARTS actor pottery director photography set design leather costume design jewelry storyteller wood-carving mime wood construction other: beadwork LITERATURE quillwork poetry birch bark fiction metal screen writer fashion design non-fiction rosemaling playwright glass other: paper DANCE basketry performance sculpture choreography painting other: drawing MEDIA ARTS mixed media audio book arts video printmaking film quilting other: weaving MUSIC fiber instrument other: Which ones(s)? voice composer conductor other: Cultural Classification: (Optional) If your artwork reflects your ethnic background, what category would best describe it? Native American Scandinavian Other: How do you currently see yourself? ("Art" refers to all disciplines. - Choose just one.) "I consider myself a part-time or full-time established professional artist who routinely produces/performs. I actively market my work." "I consider myself a serious artist whose goal is to be a part-time or full-time established professional artist." "I'm serious about my art and would like some day to actively market my art, but I am not quite ready at this time." "I consider myself an artist with a comfortable local reputation and I don't see myself needing much more than that." "I enjoy doing art as a hobby, and have no goals for my art beyond my personal satisfaction." Please give a brief description of your work that we can provide to those who may be interested. Mention things about you and about your art that you would like others to know. Yes No - Do you have slides, video/audio tapes, or a brochure of your work available to look at if someone should request this? For visual artists - If your work is currently marketed in gift shops, galleries, businesses, etc., please list the major locations: For writers - If any of your works have been published, please list titles of most recent works and where they were published. Indicate whether poetry, short story, novel, essay, play, etc. For music, theater, dance artists - Please list ways/places that you have marketed yourself as an artist. We'd like to know what past experiences and possible future interests you have. Please check ALL that apply: Yes, I have done this before. Yes, I may be interested in doing this. Teaching arts classes/private lessons - for adults: for students: Teaching/demonstrating in a school setting: Juror/panelist for arts grants/competitions: For authors - giving readings of your work: For visual artists - selling at art fairs Commissioned work: Yes When a vacancy occurs, would you be interested in receiving information about serving on the R2AC Board of Directors? The grants, programs and workshops that we offer are a result of the input that we've received from artists and others. Please send us any comments you'd like to make or any needs that you have as an artist. We'd especially like to hear suggestions for workshops that you feel would be of value. We want to be of service in any way that we can. Thank You!
City:
General Category: Primarily,what type of artist do you consider yourself? Check the area of your primary artistic interest or ability: (Choose one that defines your primary category.)
Specific Areas: In which of the areas below do you have expertise? Include your primary as well as other areas where you have strong interest/ability. You may check more than one:
other:
Cultural Classification: (Optional) If your artwork reflects your ethnic background, what category would best describe it?
Please give a brief description of your work that we can provide to those who may be interested. Mention things about you and about your art that you would like others to know.
Yes No - Do you have slides, video/audio tapes, or a brochure of your work available to look at if someone should request this?
For visual artists - If your work is currently marketed in gift shops, galleries, businesses, etc., please list the major locations: For writers - If any of your works have been published, please list titles of most recent works and where they were published. Indicate whether poetry, short story, novel, essay, play, etc. For music, theater, dance artists - Please list ways/places that you have marketed yourself as an artist.
We'd like to know what past experiences and possible future interests you have. Please check ALL that apply: