Works of Heart

If you are interested in becoming a member of Works of HEaRT, inc,
please submit the following application for review.

Artist's Information

*

First Name:

*

Last Name:

Address1:

Address2:

City:

State:

Zip:

*

Email:

Day Phone:

Evening Phone:

Check here if you would prefer to receive information through the US Postal Service

Employment

Profession:

Employer:

Current Position:

Duties:

Education

Educational Background (since high school):

Workshops:

Languages:

Speak Read Write

Teaching and Leadership Experience

(Check all that apply)

Artistic Experience

(Please complete applicable sections)

Primary Media:

Additional Media:

Solo Exhibitions:

Group Exhibitions:

Juried Exhibitions:

Publications:

Awards and Grants:

Collections:

Gallery Representation:

Other:

Portfolio

(Please upload 5 examples of your work)

#1:

#2:

#3:

#4:

#5: