Please complete this application form if you are interested in becoming a Ballad Health Artist. Once you complete the form, click the submit button at the bottom.


Personal Information


Biographical Information

Please briefly describe your biographical information to accompany your art exhibit.



Artwork Description

Please tell us about your art, including: size, medium, and technique utilized in your work.



Qualifications

Please list any qualifications you have for the Hospital Arts program, such as: art classes, career, etc.



Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Agreement

I wish to be considered for the Ballad Health Visual Arts Exhibit.


To be considered, I agree to provide the Ballad Health Visual Arts Committee with samples or representative photos (to accompany application) of my work. Photos will be returned if requested.


I understand that if I am accepted, the Ballad Health Visual Arts Committee reserves the right to remove any objectionable items from the display. I agree to furnish the Ballad Health Visual Arts Committee with biographical informatoin for inclusion in the display that accompanies the art exhibit. A personal photo may be included as well.


I hereby release the Hospital Arts Program, Ballad Health, its employees and volunteers from responsibility for damage, theft, or loss of my work.


CHECKING THE "I AGREE" BOX AND SUBMITTING THIS FORM WILL SERVE AS YOUR ELECTRONIC SIGNATURE AND YOUR ACCEPTANCE OF THE AGREEMENT ABOVE.