Vermont Arts Council: Inspiring a Creative State

Vermont.gov

Working to advance and preserve the arts at the center of Vermont communities.

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Arts Education

TEACHING ARTIST ROSTER:APPLICATION FORM

Please fill out the form below and attach all required documents. For technical assistance, please contact Stacy Raphael, Education Programs Manager.

 
Artist/Group Name:*
Legal Name if Different:
Mailing Address 1:*
Mailing Address 2:
City/Town:*
Zip Code:
County:*
State:*
Email:*
Telephone:
Fax:

 

Do you have a website?:*

 

Website URL:

 

Do you have an Arts Directory listing?
(Required for this application):*

 

Type the URL of your Arts Directory listing:

 

Artistic Discipline:*

 

Discipline Subset (i.e. If you selected literature, specify "poetry," etc)"

 

Cultural Diversity Data:

 

I Have Experience Teaching My Art Form To The Following Populations (Check All That Apply):

 

I Have Experience Teaching My Art Form In The Following Settings (Check All That Apply):

 

Availability During the Year

 

Distance Willing to Travel (i.e., statewide, 50 mile radius, 2 hours):

Rates:

Performance




Workshop




Schools

Willing to Block Book?

 

Professional Reference #1
*

 

Affiliation #1

 

Phone Number #1

Professional Reference #2
*

Affiliation #2


Phone Number #2

 

Resume #1
(Artistic and/or Teaching)
*

File Size: 2000KB Maximum
File Types: .doc .pdf

 

Resume #2
(if not covered in #1)


File Size: 2000KB Maximum
File Types: .doc .pdf

 

Promotional Photo or Image



File Size: 4000KB Maximum
File Types: .jpg .jpeg .jpe .gif .bmp

 

Teaching Artist Statement (500 words max.)
Describe your approach to working in an arts learning environment: planning, teaching, and educational philosophy.*
*Required fields
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