2024 2025 Artist Questionnaire- "IIAS Artists Seminar"

PERSONAL INFORMATION

First Name *

Last Name *

Israeli ID Number *

Upload Photo *

Please upload a high resolution color head-shot photo of yourself. It should be 300 dpi or a large sized photo. The photo will be used for IIAS publications.
More information

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

E-mail address *

Cell Phone number *

Home Address *

Personal Website *

Car Entry Permit *

Car Number

MEDICAL INFORMATION

Food Allergies/Restrictions *

Yes

Please indicate what the allergies/restrictions are

Accessibility

Please let us know if you or any members of your family have any accessibility limitations

Emergency Contact Person ( full name,proximity, cell phone number ) *

ADDITIONAL COMMENTS

ADDITIONAL COMMENTS