Mentor Program Application

Name:___________________________________________

Address:_________________________________________

Phone:______________________

E-mail:______________________

Age/Grade:__________

Why do you want to study art?

What is your favorite medium and why?

Do you have a career direction in mind?

How many hours per week will you devote to art projects?

What are your life goals?

Please email to susan@northwestartcenter.com or mail to:
Northwest Art Center
P.O. Box 1434
Duvall, WA 98019