Please fill out our form if you would like to join us.
All fields marked with * must be filled out.

*First Name:

*Family Name:

Address (plus suite or apt#):

City/Town:

Province/State:

Country:

Postal Code/Zip:

*Phone Number:

Office/Cell Number:

*Email:

Website URL:

Language(s):

Current Occupation:


EDUCATIONAL INFORMATION

Are you involved in education?: Yes      No
What sector of education?: Public Private/Seperate Alternative
Grade Level:
Teaching interests, educational focus and experience:
Name & Address of school/contact:
Local School Board:
Are you involved in hands-on learning or intergrative learning/teaching stratagies? Yes      No
If yes, how have you been involved and what benefits have you noticed?
If no, would you like to be involved in such an undertaking? Yes      No

ARTIST INFORMATION

What is your medium of preference or specialization?
What other artistic areas would you like to explore?
Are you a member of a local Arts Organization? Yes      No
Name of Organization:

ENQUIRIES

What brought you to Artshift.net?
Would you like to be updated on our program developments? Yes      No
If you would like to sponsor us or know of someone who would be interested in supporting us, please include your/their name, contact info and a link to the your/their website if you/they have one.
Any suggestions on how to improve this site or concerning possible project ideas is welcome:


    
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