Individual Cultural Survey Form
You are invited to share cultural information about yourself and others (with their permission of course) who should be included in the survey. Over 400 people have responded to date (October, 2001), and we would like to continue adding and updating information. For those who have sent in a form, please review the information as compiled at the town historical societies or on this web site. Feel free to revise your form to include more recent and more complete information.
The Identifier is the unique identifying code for each person. It is the date of birth, followed by the first three letters of the first name and the first three letters of the last (birth) name. Example: for Janet (Hede) Sandstrom. 23Feb1932JANHED Your identifier is not included in web version of the directory.
If you are filling out this form for someone else, enter your own name and identifier here
Your identifier:
Your name:
Identifier for below-named person:
Mail Address:
City:
State:
Zip:
Town where you reside:
Phone:
Fax:
Email:
Web site:
Please withhold my Biographical Sketch from the Cultual Directory Web Site.
In a broad sense, culture includes all the activities of people living in an area, thus the categories below. Please check those categories in which you have experience. Please provide a brief detail in the bos beside each category checked. Please expand on you selections in the Biographical Sketch.
I am available for volunteer / educational work I welcome guests/tours Appointment required I Take commissions /I am available for performances I give lessons to individuals or small groups I am a member Maine Arts Commission Jurried Roster