TAI Artist Application Form
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1. Teaching Artist Institute
Vision: To cultivate a Community of Support for Teaching Artists in Maryland.
Purpose: This application is for your art and the Teaching Artist Institute 21st Century Skills. (Beginning January 2011)
1
. Please Answer the Following:
MM
DD
YYYY
Today's Date
Please Answer the Following: Today's Date Month
/
Day
/
Year
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2
. Please enter the following contact information:
Please enter the following contact information:
Your Name:
Affiliated Group or Ensemble (if applicable):
Home Address:
Home Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Cell Phone:
Home Phone:
Email Address:
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3
. Are you an Maryland State Art Council Roster Artist?
Are you an Maryland State Art Council Roster Artist?
Yes
No
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4
. Have you completed a Teaching Artist Institute Program in the past?
Have you completed a Teaching Artist Institute Program in the past?
Yes
No
If so, when?
*
5
. Please enter the Following: Statement of Interest
(A statement of interest is a description of what you hope to accomplish by participating in this institute and how the training will benefit you and/or your group.)
Please enter the Following: Statement of Interest (A statement of interest is a description of what you hope to accomplish by participating in this institute and how the training will benefit you and/or your group.)
*
6
. Please describe your professional experience as an artist.
Please describe your professional experience as an artist.
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7
. Please describe your teaching experience. If none, then write "No Experience" in the comment box.
Please describe your teaching experience. If none, then write "No Experience" in the comment box.
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8
. Please List Education Completed (apprenticeships, degrees, etc.):
Please List Education Completed (apprenticeships, degrees, etc.):
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