We Want to Know What You Think

Contact Information
Name of Individual or
Name of Organization:
Website:
Email:
Street Address:
Street Address 2:
City:
State:
Zip:
Please tell us about yourself or your organization.
Is this location open to the public?
Yes No
If yes, hours of operation:
Capacity of Location:
Would you distribute MAC Calendars:
Yes No
Mailing Address:
If different from above.
Street:
City, State, Zip:
Would you like to be listed in our online Artist & Art Organization Directory?
Yes No
Contact Person:
(Contact Person information will not be listed in the Online Directory.)
Contact Title:
Email:
Phone:
Art Information
Visual Arts:
Painting
Sculpture
Photography
Crafts
Media
Performing Arts:
Music/Vocal
Music/Instrumental
Dance
Other:
Literary:
Poetry
Short Stories
Journalism
Novels
Plays/Screenplays
Other:
Organization Information
(Optional)
 The following sections are for MAC use ONLY, in the hopes to better serve you. This information is Confidential and will NOT be shared or sold.
Do you offer Classes/Events?
Yes No
Average Cost?
Average Attendance?
Capacity?
Do you offer Group Discounts/Specials?
Yes No
Would you be willing to offer discounts to increase attendance?
Yes No
What is your approximate annual budget?
$0-$3K $3K-$10K

$10K-$50K $50K-$200K

Over $200K
How many volunteers serve in your organization annually?
How many full-time employees do you have?
How many part-time employees do you have?
Are yu a registered nonprofit 501(C)3 organization witht the IRS?
Yes No
Do you have a printed newsletter/brochure?
Yes No
How often is it published?
Quarterly Monthly

Weekly Other
In what quanity?
We advertise by:
Paid News/Magazine Ads
Paid TV/Radio
Free News/Magazine Ads
Free Public TV/Radio
Posters/Flyers
Direct Mail
Email Lists
Would you utilize MAC's interactive online calendar for publicity if available?
Yes No
Service Preferences
 There are several ways we can share information with you. Please indicate your organization's preferences below:
We would attend an occasional, in-depth workshop (4-8 hours)
Yes No
We would attend over and update meetings (1 hour)
Yes No
We would read weekly Email notices.
Yes No
We would attend occasional networking/social events.
Yes No
I prefer meeings in the:
Morning
Afternoon
Evening
Which days would you prefer meetings?
Sun Mon Tues Wed
Thurs Fri Sat
Please check all topics you would like to learn more about.
 Check 1 for Strong Interests, 2 for Some Interest and 3 for No Interest.
Organizational Development Skills:
1 2 3
Volunteer Development:
1 2 3
Board Development:
1 2 3
Financial Management Development:
1 2 3
Fundraising:
1 2 3
Grant Writing:
1 2 3
Tecnology Skills:
1 2 3
Program Development:
1 2 3
Audience Development:
1 2 3
Promotional Strategy & Marketing:
1 2 3
MAC Resources:
1 2 3
Regional Cultural Activity:
1 2 3
Statewide Cultural Activity:
1 2 3
New England Cultural Activity:
1 2 3
Statewide Arts Advocacy:
1 2 3
Other areas of interest:
Please list any other ways which you believe a Local Arts Agency can be of help to you and/or your organization:
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