Arts Council Form

Individual Artist Database Form
I would like to be included in the Cultural Affairs Individual Artist database. I understand that I will automatically receive ARTS INFO, a monthly e-publication listing all types of current cultural opportunities for artists. Cultural Affairs will also e-mail occasional workshop notices, newsletters, and items of interest which may be of benefit our artistic community. I also understand that I may opt out of this email database at any time by responding directly to any automated email I receive.
Your Name
Your Address
City, State
Zip Code
Phone # (include area code)
Fax # (include area code)
*E-mail Address
Discipline Fill in code from 15 category choices below: Enter code (two digit number and corresponding letter) from the choices below which best describes your primary area of work in the arts. Subdiscipline letter not required if not applicable. Enter code (two digit number and corresponding letter) here example-- 03B 01 Dance A -Ballet B -Ethnic/Jazz/Folk C -Modern D -New/Avant-Garde 02 Music A -Band (not Jazz or Popular) B -Chamber C -Choral D -New/Experimental/Electronic E -Ethnic/Folk Inspired F -Jazz G -Popular (includes Rock) H -Solo/Recital I -Orchestral/Symphonic/Chamber Orchestra 03 Opera/Musical Theater A -Opera B -Musical Theater 04 Theater A -General/Classical B -Mime C -Pupper Theater D -Theater for Young Audiences E -Avant-Garde 05 Visual Arts A -Experimental/Conceptual B -Graphics/Printmaking/Book Arts (not Graphic Design) C -Painting (includes Watercolor) D -Sculpture 06 Design Arts A -Architecture B -Fashion C -Graphic D -lndustrial E -lnterior F -Landscape Architecture G -Urban/Metropolitan 07 Crafts A -Clay B -Fiber C -Glass (or includes Neon) D -Leather E -Metal F -Paper G -Plastic (or includes Plexiglass) H -Wood I -Mixed Media 08 Photography/Holography A -Photography B -Holography 09 Media Arts A -Film B -Audio/Radio/Sound Installations C -Video 10 Literature A -Fiction B -Non-Fiction C -Playwriting D -Poetry 11 Interdisciplinary Pertaining to art forms/art works that integrate more than one arts discipline to form a singe work (includes Performance Art) 12 Folk Arts Pertaining to oral customary material and performance traditions handed down in contexts characteristic of specific ethnic/folk groups. 13 Humanities 14 Multidisciplinary Pertaining to two or more of the arts disciplines above A -Exclusively Performing Arts B -Exclusively Visual Arts 15 Non-Arts/Non-Humanities/None of the Above Type (Individual artists only) Enter one two-digit code from the 48 choices below which describes the primary work you do. Enter 2 digit code Here 01 -Choreographer 02 -Dancer 03 -Composer 04 -Conductor 05 -Brass Player 06 -Fretted Instrument Player 07 -Keyboard Instrumantalist 08 -Percussionist 09 -String Player 10 -Singer (includes Vocalist) 11 -Woodwind Player 12 -Actor 13 -Mime 14 -Puppeteer 15 -Artistic Director 16 -Technical Director 17 -Property Designer 18 -Costume Designer 19 -Lighting Designer 20 -Writer/Poet 21 -Playwright 22 -Storyteller 23 -Other (Performing or Literary Artist) 24 -Juggler 25 -Clown Artist 26 -Architect/Designer (Includes Landscape, Interior, Fashion, etc.) 27 -Graphic Artist (includes artists who do pen & ink, drawing, pencil, moiroprint, cartoon illustration, calligraphy, collage, pastel, prints) 28 -Painter (includes Watercolor Artists) 29 -Sculptor 30 -Photographer (includes Holographic Artists) 31 -Filmmaker 32 -Video Artist 33 -Ceramist/Potter (one who creates art by firing non-metallic minerals at high temperaturei) 34 -Glassblower 35 -Stained Glass Artist 36 -Mosaic Artist 37 -Enamelist 38 -Metalsmith (Includes gold, silver & blacksmithing) 39 -Leatherworker 40 -FiberArt 41 -Woodworker 42 -Papermaker 43 -Printer, Binder, Typographer 44 -Audio Anist 45 -Interdisciplinary Artist (one who produces art forms/art works that integrate more than one art discipline, including Performance Artists) 46 -Curator 47 -Exhibit Designer 48 -Other-Visual & Media Arts Characteristics Select one category from the seven choices below which best describes your predominant characteristics. Response to this question is voluntary. Enter 1 letter code Here N -American Indian/Alaskan Native A -Asian/Pacific Islander B -Black, not Hispanic H -Hispanic W -White, not Hispanic M -Multi-racial (for Individuals), or G -General (for organizations)
*your e-mail address is required to submit form E-mail addresses are public records under Florida law and are not exempt from public-records requirements. If you do not want your e-mail address to be subject to being released pursuant to a public-records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing, via the United States Postal Service.