Contact Us - ArtWorks Foundation

Send us a Fax (201) 608-0148

Email us at info@artworksfoundation.org
or fill out the form below.

How can we help you?
Please fill out the following form with the nominee’s information. Thank you!
Name*
First Last
Age
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hospital Affiliation
Hospital Floor/Department
Email*
Phone Number
How did you hear about us?
Comments
How did you come to join ArtWorks? In which ArtWorks programs have you participated? How long have you been a participant of ArtWorks?
What motivates you to create? What are your inspirations?
What do you love most about creating art?
Tell us a story from your life you would like to share with the world.
How has ArtWorks and/or the creative arts made a difference in your life?
Finally, please share some words that you would like to pass onto ArtWorks and all the children and young adults of the ArtWorks community.
Please attach ONE jpeg image of yourself, as well as TWO jpeg images of your artwork OR a Youtube link to a video of your performance.
Drop files here or

Max. file size: 4 MB, Max. files: 3.
Youtube link to a video of your performance (If Applicable)
I _______________ (artist name) agree to allow ArtWorks to release the information I provide in this packet (including but not limited to my biography, description of artwork, name, age) and my photograph to be used in ArtWorks publications including but not limited to ArtWorks journal and/or on ArtWorks website and/or presentation at an ArtWorks exhibition, fundraising event and/or any other ArtWorks materials all in the sole and absolute discretion of ArtWorks. I agree to allow ArtWorks to release the enclosed information and photograph to other organizations and their publications and to the media such as but not limited to newspapers, entertainment or other print media. I acknowledge that the use of the information and photograph thereto are being carried out with my full consent.
- YES! - I Agree
Date
MM slash DD slash YYYY
Signature (Parent or guardian must sign for a child 18 and under):
Are you human? (Please enter the characters below)