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NJPAC/CHCA ArtsXChange Submission Form
Thank you for your interest in being a part of NJPAC/Clinton Hill Community Action (CHCA) ArtsXChange in the South Ward! Please use this form to get involved in future ArtsXChange programming and events.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Would you like to perform, recommend someone or join our mailing list?
(check all that apply)
*
Perform
Recommend Performer or Event
Mailing List
Required
Are you recommending an artist or event idea?
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Artist
Event Idea
Required
What is the talent?
*
Singer
Poet
Musician
Dancer
Actor
Comedian
Visual Artist
Other:
Required
Name of the artist or event idea
*
Your answer
Please provide information about the artist or program (i.e., social media link, clip of performance or an explanation of your idea).
*
Your answer
What is your/their connection to the South Ward?
*
Your answer
Where are you from? If from Newark, what ward? If not, what is your connection to Newark?
*
Your answer
How do we best connect with you or the artist? P
lease share social media handles, website info, cell phone numbers or email addresses.
*
Your answer
Would you like to volunteer in other capacities for ArtsXChange programs? (Check all that apply.)
Event Usher
Phone Banker
Outreach
Set Up/Break Down
Food Server
Other:
A copy of your responses will be emailed to the address you provided.
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