eGRANT Contact NC Arts Council

Artist Registration Form

Welcome to the online Artist Fellowship Application form. Please fill in the form below to generate the coversheet for your application. When you click the Submit button and your registration is complete, you will be taken to another page where you can print a PDF cover sheet.

If you have trouble using this online form, please read the FAQs. You may need to disable a firewall in order to use online forms.

You will need Adobe Acrobat Reader installed on your computer in order to open or print the PDF file. Please read the instructions on our PDF page at http://www.ncarts.org/help/PDFins.html to obtain a free copy of this software.

Please complete the following form. All * fields are required.

Check here if you want to subscribe to Art Matters, our email message service.
Check here if you have changed your address in the last year or if this form updates a previous listing.
No Release: Check here if you do not want us to share your name for other art-related mailings or be listed on our Web site as an organization or North Carolina artist.

Fellowship Category:
Choreographers Fellowship
Film/Video Fellowship
Visual Arts Fellowship

Address Information:

*Applicant Name:


*Mailing Address:


*City:
 State:
NC 		*Zip Code: (#####-####)
 *County (NC):
Format for all phone numbers: 000/000-0000
* Either Work Phone or Home Phone must be filled out.
Work Phone:
 Home Phone:
Fax Number:
 TDD/TTY number:
*E-mail address:

URL (website address):
http://

*Discipline:
Select up to three disciplines which best describe your area of work or main interest in the arts. Indicate your first, second and third priority. Please keep in mind that we must often target only the primary art form when we have to select a limited number of records for a mailing.






*Artist Type:
Select the item which best describes you as an artist or other arts professional. Please refer to the Discipline codes above and make sure that you coordinate these codes with your priority art forms.

Characteristics:
Select the categories which best describe you. To make multiple selections, hold down the Control key (windows) or the Command key (mac) while making your selection.

*Race/Ethnicity: Individuals may select any combination of the codes that apply.

NOTE: Most of the fields above are required. (marked with an *) The remaining fields below are optional. You may stop here and submit just the fields above.

Interests:
Information about these subjects is not regularly published. Select all items in which you have an interest or involvement and wish to receive material from time to time. Please note that the Discipline choices are most frequently used to select target mailing lists.

To make multiple selections, hold down the Control key (windows) or the Command key (mac) while making your selection.

Audience Characteristics:
If you are interested in serving a particular group, select the groups below which best describe the audience you serve. Use General if you do not target any particular special population groups. To make multiple selections, hold down the Control key (windows) or the Command key (mac) while making your selection.

Availability:
Select the items which you are able to provide. This code is used only to identify possible resource people. To make multiple selections, holddown the Control key (windows) or the Command key (mac) while making yourselection.


None of the Above. Please list:

Consultant Type:
Select the items which best describe your programs or services, or areas of expertise. To make multiple selections, hold down the Control key (windows)or the Command key (mac) while making your selection.


None of the Above. Please list: