Artists Register Form Artists/ Workshop Leaders Register SECTION A:General Information.Name (real name or Artistic Alias)*Email Do you consider yourself to be a disabled and/or Deaf/deaf person?*YesNoPlease state any access requirementsWhy are you interested in being on DAC’s Artists Register?What are your main arts skills? Tick all that apply Painting Photography Print-making Writing Dance Sculpture Acting Stained Glass Digital media Music Other Please SpecifyPlease tell us a bit about your art practice and what you are doing:Please specify any relevant formal qualifications or training:Do you want to be listed on the DAC website’s Artists Showcase? Yes No SECTION B:To be completed by disabled and Deaf/deaf or non-disabled artists wishing to work with disabled and Deaf/deaf people as workshop leaders / facilitators. If this does not apply to you please skip to SECTION C.Do you have experience of working with disabled and/or Deaf/deaf people?YesNoPlease give details of your experience:Have you received any training in relation to disability issues?YesNoPlease give details of your training:Do you have experience of working in Community Arts?YesNoPlease give details of your Community Arts experience:Have you worked with DAC or a similar organisation before?YesNoPlease specify if other than DACIf you have not worked with DAC before please name a referee who can comment on your arts skills and from experience, your ability as a workshop leader/ facilitator. Please provide name and contact details for them.How far would you be prepared to travel to work on a project?Please indicate availability for work (Please tick): Day Time Evenings Weekends Any Time SECTION C: DATA PROTECTION ACTThe information given by you on this form is held on computer at the offices of Disability Arts Cymru. The information will be kept in confidence and names and addresses will not be given out to anyone except those looking for an artist to assist with a project. By ticking the box below you consent to the above information about yourself being stored on the DAC computer and highlighted sections made available on the DAC website’s Artists Showcase.Data Protection Act Consent* I Consent This iframe contains the logic required to handle Ajax powered Gravity Forms.