Username

Password

Confirm your Password

Password Strength

Please prove you are not a robot

Answer: 5 + 6

Profile Details

First Name

Last Name

Profile Display Name

Profile Image

Upload a profile image

Location

Phone number

Make this field hidden from public

E-mail address

Make this field hidden from public

Art Discipline

More information

Engagement

Working in the community (select one)

Working in the education sector (select all that apply)

Social Profiles

Instagram page

Twitter page

Facebook page

Website

Website #2

Diversity Searches

Description Help

Gender (optional)

MaleFemaleNon-binary

Age (optional)

Sexual Orientation (optional)

Member of the LBGT Community

Artist with a disability

Black, Asian or Minority Ethnic Artists (optional)

Black, Asian and Ethnic Minority Artists

Agreement Confirmation

Agreement

I am happy to be included in the Coventry Artspace Artist Listings using the information I have supplied here, which is correct.I will contact Coventry Artspace if any of my details change in the course of the next 12 months. I will ensure that my profile page on Axisweb or CuratorSpace is live for 12 months and will contact Coventry Artspace immedately if this changes.I understand that my listing will be removed after 12 months if I do not confirm my details and consent to continue my listing.