Cultural Institution Engagement Form

Fields marked with an * are required

1. Organization Name *

2. Contact Name *

3. Contact Email *

4. Contact Phone Number *

5. Approximately how many programming events does the organization present in the course of a year?

6. How many artists, other cultural professionals, or VIP guests do you have to house or entertain in the course of a year?

7. Approximately how many days of lodging does each event require?

8. If you could cover the hosting expenses through the Patron Hosts Network, would you invite a greater number of artists, cultural professionals, or VIP guests to join you?
YesNo

9. If yes, approximately how many more invitations would you make in the course of a year?

10. Does the organization presently participate in any kind of affiliate program where resources are shared with other organizations? Please describe.

11. Would your organization be willing to reciprocally share relevant video and alternative media assets with other strategic partners?
YesNo