Contact Profile
Please fill out the profile completely - mandatory fields are noted with
*
and highlighted in
RED
Salutation:
Select...
Dr.
Mr.
Mrs.
Ms.
Miss
* First Name:
Middle Name:
* Last Name:
* Address:
Address (2):
* City:
* State:
Select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
* Zip Code:
* County:
Select...
Addison
Bennington
Caledonia
Chittenden
Essex
Franklin
Grand Isle
Lamoille
Orange
Orleans
Rutland
Washington
Windham
Windsor
Artists: Please Select Your Discipline
Select...
Dance
Music
Opera/Musical Theatre
Theatre
Visual Arts
Design Arts
Crafts
Photography
Media Arts
Literature
Interdisciplinary
Folklife/Traditional Arts
Humanities
Multidisciplinary
Non-Arts/Non-Humanities
* Are you a legal resident of Vermont?
Yes
No
* Phone #:
EXT:
Fax #:
Website:
Are you interested in serving on a grant panel for the Vermont Arts Council?
Yes
No
Subscribe to ArtMail - the Council's e-newsletter about grants news, events, and funding opportunities
(
preview sample issue here
)
Yes
No
* Username:
* Password:
* Confirm Password:
* Email:
PRIVACY POLICY: Any personal information you provide on this form will not be shared with or sold to other organizations without your consent. We will retain it to respond to your request, and to keep you informed of other opportunities available to you via ArtMail.
If you choose to subscribe, you can unsubscribe or "opt-out" at any time. Information about professional organizations (including units of government, schools, not-for-profit agencies, professional associations, or other entities, incorporated or not, that do business with the public and are eligible to receives funds or services from the Vermont Arts Council) provided to the Council by those organizations will be shared from time to time only with statewide, regional or national "partnering organizations" with a legitimate interest in tracking such information or doing research that the Vermont Arts Council considers legitimate.
These partnering organizations may include, but not be limited to, the Vermont Agency of Commerce and Community Development,The University of Vermont, the New England Foundation for the Arts, Americans for the Arts, the National Assembly of State Arts Agencies, and the National Endowment for the Arts.
Vermont Arts Council
| 136 State Street, Drawer 33 | Montpelier, VT 05633-6001 | 802-828-3291 | TTY: 711 |
Email Us
©2006 Vermont Arts Council. All rights reserved