Louisiana Cultural Assests Rescue

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Artist

Business

Educational Institute

Organization

Northeast Document Conservation Center (NEDCC)

Hurricane Scenarios

Heritage Preservation

National Trust for Historic Preservation

Emergency Management Assistance Compact

Items marked with an * are required.

Name: *

Current Address: *

Current City: *

Current State: *

Current Zip: *

Phone Number: *

Email: *

Website:

If your current contact information is likely to change, please provide other contact information so that we can locate you in the future:

Arts Discipline:
Check all that apply: *

Dance
Design Arts
Folk Life
Literature

Media
Music
Theatre
Visual Arts and Crafts

Check the characteristics, which best describe yourself. You may check more than one. *

American Indian/Alaska Native
Asian
Black/African American

Hispanic/Latino
Native Hawaiian/Pacific Islander
White

Which of the following best describes your educational background? Check your highest level of education.:

Some High School
High School
Some College
BA/BS (Non arts-related)
BA (Arts Related)

MA/MS
MFA
PhD/DMa
Other

Do you have experience working as an artist in K-12 schools?: *

YES
NO

How has your work as an artist been affected by the hurricanes?:

Estimate earnings from your art (pre hurricane): *

Estimate earnings from your art (post hurricane): *

Does your organization have any collaborative partnerships or arrangements with other organizations (non-profit or for-profit)?:

K-12 school groups
Arts organization

University arts organization
For profits

Other:

If yes describe.:

How has the hurricane affected the relationship?:

How would you rate your organizational capacity in the following areas post hurricane?:

marketing/promotion
production/supplies
facility/studio/work space
equipment
storage of art work
documentation of artist work
business records
performance/screening opportunities
sales/commissions / exhibition opportunities
cash flow/business loans
income

Since the hurricane(s), has your income increased from sources outside of the state of Louisiana?: *

YES
NO

If yes, percentage increase(%):

Have you received hurricane relief assistance? If so, how much and from which agency?:

	FEMA
	Small Business Administration
	Others(charities, foundations)

Are you insured?: *

YES
NO

Is your coverage adequate to recover losses?: *

YES
NO

What is your greatest artistic need at this time?: *

What other resources/services could the Louisiana Division of the Arts offer that would benefit you?: