Artists Profile Form — This is the form for individual artists who would like to be vetted to be listed on The Roster. Required fields are labelled in red.

There is a seperate form for organizations who wish to be on The Roster, and seperate forms for those who wish to search The Roster, or just become members of The Lifetime Arts Creative Aging Community. Please return to the home page to access the appropriate form if you are not an individual artist signing up for The Roster. Thank you.
















Please choose a username and password for this website.




Artistic Discipline: Please check all that apply.

Visual Arts
Painting
Drawing
Printmaking
Collage
Sculpture
Graphic Design
Photography
Performing Arts
Dance

Performance
Choreography
Theatre

Acting
Directing
Music

Vocal Performance
Instru. Performance
Composition
Choral Music

Literary Arts
Poetry
Fiction
Non-fiction
Playwriting
Screenwriting
Memoir
Criticism
Creative Non-fiction
Media
Digital Arts
Filmmaking
Videography
Other

Vocal Arts
Storytelling
Spoken Word
Crafts
Pottery
Jewelry Making
Weaving
Quilting
Other

Professional Affiliations/Artists Rosters: Please list all professional affiliations and artists rosters to which you belong: Example: ASCAP, International PEN, Association of Teaching Artists, College Art Association, College Art Association, National Guild of Community Schools of the Arts.


Education: Please check all that apply, list name of school:

Bachelors Degree
Name of School:
Masters Degree
Name of School:
Ph.D.
Name of School:
Professional License/Certification
Self-Taught
Other Training

Professional Artistic Practice: Please list up to 10 performance, exhibition, production or publication credits.


Teaching/Employment History: Please list up to five (5) organizations/institutions for which you have worked as a teaching artist. Include date and title or position.


Teaching/General: Please check all that apply to you.

I have experience working with older adults
I am experienced in teaching older adults in sequential arts learning programs
I am experienced in teaching intergenerational groups in arts based programs
I am experienced in teaching K-12 populations
I am experienced in teaching special needs populations

Teaching/Demographics Please check all that apply to you.

Active Retirees
Alzheimer
Dementia
Disabled

Frail Elderly
Homebound Elderly
Hospitalized Elderly
Immigrant
Intergenerational
LGBT



Teaching/Venues - Settings Please check all that apply to you.

Adult Day Care
After School Program
Assisted Living
College/University
Community Center
Hospice
Hospital
Independent Living
Library
NORC (naturally occurring retirement community

Nursing Home
Rehabilitation Center — Long Term
Rehabilitation Center — Short Term
Senior Center

Professional Development: Please check all that apply to you.

I am interested in professional development opportunities to prepare me to work with older adults
I am interested in professional development opportunities to prepare me to work with intergenerational groups.
I have been trained to work with older adults
I have been trained to work with intergenerational groups
I have designed and/or facilitated arts training for other artists
I have designed and/or facilitated arts training for teachers
I have designed and/or facilitated arts training for administrators

Language Proficiency: Please check all that apply to you.

English
Spanish

Arabic
Cantonese
Creole
French
German
Greek
Hebrew
Hindi
Italian
Japanese
Korean
Mandarin
Persian
Polish
Portuguese
Russian
Tagalog
Ukrainian
Urdu
Yiddish
Other

Artist's Statement: In a maximum of 250 words, please provide a brief statement describing your teaching artist philosophy and approach. Elaborate on your specific skills, training, and expertise working with older adults.





If you have any questions or if you would like to contact us please email us at:
roster@lifetimearts.org



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