Displaced Artist Assistance Inquiry Form

Please complete this form to the best of your ability.

A staff member will follow up as soon as possible to discuss how we may be able to help given our available resources and your specific situation.

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* 1. If you are completing this form on behalf of an artist displaced by Helene, please include your name, phone number, and email here.

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* 2. Displaced Artist's Contact Information

First & Last Name(s)

Company/Org.

Address

Address 2

City/Town

State

ZIP/Postal Code

Email Address

Phone Number

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* 3. Please help us understand how you've been impacted by Helene, what challenges you are encountering, and how we may be able to help.

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* 4. Is temporary housing needed for only the displaced artist, or are there additional family members and/or pets that may need housed? Please elaborate.

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* 5. Who is the best person to communicate with about how we may be able to help and by what method?

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* 6. Other Comments or Questions