Committee Form Name * First Name Last Name Email * Phone * Country (###) ### #### Which Branch Are You Interested In Joining? * Visual Arts Tech Arts Cultural Arts Performing Arts Functional Arts Healing Arts What Neighborhood Of Chicago Do You Currently Reside In? About You Tell Us About Your Artistic or Professional Background Why Are You Interested in Joining This Committee? Are you interested in a Branch Leadership Role ? * Select all that apply Director Digital Archivist Media Specialist Secretary Treasurer Grant Writer Committee Member What Skills or Experience Do You Bring That Could Contribute to This Branch’s Goals? Are You Able to Attend Monthly Committee Meetings? Is There Anything Else You’d Like Us to Know About You? Thank you!