WebGrants - Minnesota State Arts Board

Instructions

There are two parts to the registration form, Personal Information and Organization Information. If you are registering as the contactperson for an organization, complete both the Personal Information and Organization Information sections. If you are registering as an individual, complete the Personal Information section only, then answer �No� to the question �Are you Affiliated with anOrganization?

Everyone: Please respond to the CAPTCHA prompt at the bottom of the form. Click the blue �Register� button to complete your registration.

To better ensure that you will receive WebGrants e-mail alerts, please add the address �webgrants@apply.mnartsboard.com� to the safesender list in your e-mail or anti-virus program.

Personal Information

Legal Name*


First Name	Middle Name	Last Name

Alternate Name


First Name	Last Name

Use alternate name for publicity purposes?

Yes No

Email*

Confirm Email*

Address Line 1*

Address Line 2

City*


City	State/Province	Postal Code/Zip

Phone*


Phone	Ext.

Other Phone


Phone	Ext.

Personal Web Site

Artistic Discipline*


Primary (required)	Secondary (optional)	Artist / Nonartist (required)

Title at Org, or N/A*

If not a U.S. Citizen, but have permanent resident status, please attach your permanent resident card as a PDF file here

Organization Information

Are you Affiliated with an Organization?

Yes No

Legal Name:*

Alternate Name

Use alternate name for publicity purposes?

Yes No

Physical Address*

Address Line 2

City*


City	State	Zip Code

Phone*


Org'n Main Nbr	Ext.

Mailing Address

Mailing Line 2

Mailing City


City	State	Zip Code

Organization Type*


Primary (required)	Secondary (optional)

Organization Web Site

Legal Status*

Artistic Discipline*


Primary (required)	Secondary (optional)

Chief Executive Officer
Name, Title, E-mail Address


First Name	Last Name	Title	E-mail Address

Verify Submission