ANDPVA 2010 Survey

1. Are you a paid member of ANDPVA (within the past year)?

Are you a paid member of ANDPVA (within the past year)? Yes

Other (please specify)

2. Do you have a profile on ANDPVA’s webpage?

Do you have a profile on ANDPVA’s webpage? Yes

Other (please specify)

*
3. What's your full name? Please enter the one you use as an artist, or the one you want us to use.

What's your full name? Please enter the one you use as an artist, or the one you want us to use. First
Middle
Last
Other

4. Phone number(s). Please share the one(s) you want us to use to contact you:

Phone number(s). Please share the one(s) you want us to use to contact you: Home
Cell
Work
Other
Pager
Fax

5. Email address(es). Please enter the one(s) you want us to use to contact you.

Email address(es). Please enter the one(s) you want us to use to contact you. Email 1
Email 2
Work email
Other email

6. Please enter your work or home address, depending on where you want us to contact you:

Please enter your work or home address, depending on where you want us to contact you: Organization (if applicable)
Job Title (if applicable)
Address1
Address2
City
Province
Postal Code
Country

7. Please enter your URL (web address if you have a webpage):

Please enter your URL (web address if you have a webpage): WebAddress1
WebAddress2
WebAddress3

8. Please enter your birthday (with or without the year):

Please enter your birthday (with or without the year): Date (day)
Month
Year

9. Please select a gender from the following choices, or write in your gender in the way that's best for you:

Please select a gender from the following choices, or write in your gender in the way that's best for you: Female

Male

Both

Neither

Prefer not to answer

Other (please specify)

10. Question optional (they're all optional)
If you want to, please tell us anything about your sexual identity, for example if you proudly want to identify as queer/LGBT. The only thing we might be able to do with this information could include (a) making sure we’re inclusive and (b) forwarding submission calls that specify queer/LGBT artists.

Question optional (they're all optional) If you want to, please tell us anything about your sexual identity, for example if you proudly want to identify as queer/LGBT. The only thing we might be able to do with this information could include (a) making sure we’re inclusive and (b) forwarding submission calls that specify queer/LGBT artists.

ANDPVA 2010

1. Contact Information

1. Are you a paid member of ANDPVA (within the past year)?

2. Do you have a profile on ANDPVA’s webpage?

*3. What's your full name? Please enter the one you use as an artist, or the one you want us to use.

4. Phone number(s). Please share the one(s) you want us to use to contact you:

5. Email address(es). Please enter the one(s) you want us to use to contact you.

6. Please enter your work or home address, depending on where you want us to contact you:

7. Please enter your URL (web address if you have a webpage):

8. Please enter your birthday (with or without the year):

9. Please select a gender from the following choices, or write in your gender in the way that's best for you:

*
3. What's your full name? Please enter the one you use as an artist, or the one you want us to use.