Application for Internet Directory Listing

Submit this Application for Internet Directory Listing with one image of yourself (if applicable with instrument or in costume), your group or your facility. If you are a writer, you may want your image to be of your book cover. Please mail  your image to our office in high resolution. At this time, we are only listing individuals and groups that provide services in our area.

 

 

Application for Internet Directory Listing

Submit this application form with one image of yourself (if applicable with instrument or in costume), your group or your facility.  If you are a writer, you may want your image to be of your book cover.  Please mail your image in high resolution.  At this time, we are only listing individuals and groups that provide services in our area.

Northwest Minnesota Arts Council
109 S. Minnesota St
Warren, Mn 56762-1428

www.NorthwestMinnesotaArtsCouncil.org

Questions:  218-745-9111 or mara@nwrdc.org  

Name:__________________________________________________

Mailing Address:________________________________________

City: ____________________________ Zip_________________

Phone Number:  ________________

E-mail Address:  ____________________________________

Website: ____________________________________________

Services You or Your Group Provide(s):________________________

____________________________________________________________

(Private Instruction, School Residency, Demonstration, etc.)

 

Artists’ Statement:  (limit your statement to 1-2 sentences, 15-30 words max)________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

 

 Permission to Use Above Information and Enclosed Image

I certify that the above information is correct.  In addition, I permit Northwest Minnesota Arts Council to publish my/our contact information, along with my submitted image, on their web site and in a printed promotional booklet.

 Signature: _______________________________ Date:  _____________

Serving Artists and Arts Organizations