Call for Art in the Park Artists Form

Complete Application with all required information. Must be received by: Friday, April 19, 2019

Name
Title
Organization if applicable
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Cell Phone
Email
Website
I currently have updated child abuse and criminal clearances
YesNo . If you do not have updated
Note Clearances we will require from the PA State Police. (http://www.portal.state.pa.us or https://epatch.state.pa.us)
Art in the Park availability: (check all that apply) Must be available between 9:30 a.m. - 12:00 p.m.
Tuesday, July 9, 2019 - Merli-Sarnoski, Greenfield Twp.10:00-12:00 p.m.Tuesday, July 16, 2019 - Covington Park, Covington Twp.,10:00-12:00 p.m.Tuesday, July 23, 2019 - Aylesworth Park, Jermyn,10:00-12:00 p.m.Tuesday, July 30, 2019 - McDade Park, Scranton, 10:00-12:00 p.m.
Art Engage Day availability: (check all that apply) Must be available between 9:30 a.m. - 12:00 p.m.
Tursday, August 1, 2019 - Electric City Trolley Museum 10 - 12 p.m.
Activity or Activities (list)
Activity Description
I have participated in Art in the Park or ARTS Engage! Day in previous years:
YesNo
If new applicant please submit a one page resume