JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Signup form for mentoring (in depth consultation)
Please fill in this form IF you already sent the initial contact form and we have communicated about your session
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email address
*
Your answer
Telephone number, home
*
Your answer
Telephone number, mobile
*
Your answer
What subject matter do you like to paint?
*
Your answer
Your website URL, if you have one
Your answer
Please tell me a little about yourself (optional)
Your answer
What classes and workshops have you attended, if any
Your answer
Do you belong to any art groups? If so, which ones?
Your answer
Your artist's statement, if you have one
Your answer
Your goals for painting, now and long term
*
Your answer
Please list any shows or places you have shown your paintings, if any
Your answer
Please mention any specific painting challenges you would like to discuss
*
Your answer
Any other information
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of vortexdigital.com.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report