Prefix: Mr. Mrs. Ms. Dr.

First Name:*

Last Name:*

Title:*

Company Name:*

Website:

Primary Address:*

Primary Address 2:

City:*

State:* Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP:*

Primary Phone:*

Cell:

Primary Fax:

Primary Email:*

Primary Address? Work Home

Secondary Address:

Secondary Address 2:

City:

State: Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP:

Secondary Phone:

Secondary Email:

Please select the types of arts organizations that might interest you. Select all that apply:

Crafts
Dance
Dance: Ballet
Dance: Ethnic/Jazz
Dance: Modern
Design Arts
Folk/Life/Traditional Arts
Literature
Media Arts
Multidisciplinary
Opera
Music: Choral
Music: Ethnic
Music: Jazz
Music: Orchestral
Musical Theatre
Theatre
Visual Arts

Please describe any memberships, arts events you attend, your own work in the arts, etc.:

Please select all geographic regions in which you are available to offer support:

Center City Philadelphia
Philadelphia County
Bucks County
Chester County
Delaware County
Montgomery County
Camden County
New Castle County

Please select the areas in which you have expertise:

Business Continuity/Disaster Recovery
Computer Maintenance/Upgrades
CRM (i.e. Salesforce, Tessitura)
Database Development/Design
Database Administration
Desktop Configuration and Support-PC
Desktop Configuration and Support-MAC
Desktop and Server Virtualization
E-commerce
E-Marketing and Social Networking
Fund Raising and Donor Management Apps (i.e. Raiser’s Edge)
Hardware Evaluation and Selection
Infrastructure Assessment and Planning
MAC OS-based software applications and development
Mobile Computing
Networking/LAN/WAN
Program Management
Project Management
Reporting and Business Intelligence
Security (Internet and Network)
Software Evaluation/Selection
Strategic Technology Planning
Technology Needs Assessments
Telephony/Telecommunications
Training
Vendor Selection/RFP Process
Website Development/Programming
Website SEO/SEM
Website Design
Wireless Networks/Technologies

Briefly describe your area(s) of technology expertise not indicated above:

Please indicate the volunteer role(s) that you are interested in pursuing:

Project Leader: Guide an arts group through a technology project; time commitment is 5-10 hours per month
Subject Matter Expert: Provide assistance as needed on a specific area of technology (i.e. CRM, web design and development, networking, etc.) that fits your expertise
Workshop Faculty: Participate in a workshop or webinar

How much time can you commit on a monthly basis?

5 - 10 hours/month
10 - 20 hours/month
20 - 30 hours/month

Please let us know of any other questions or comments:

Please read and check the boxes below to confirm you understand our application process:

I understand that in order to participate in Technology Connectors, I must participate in a training session.
I understand that in order to participate in Technology Connectors, I must send my resume to tsisko@artsandbusinessphila.org.