VISITING ARTIST CONTACT INFORMATION UPDATE This form is for WSMTA Visiting Artists ONLY. This form is to be completed every year before June 1. The purpose of the form is to ensure that we have the most up-to-date information for every WSMTA Visiting Artist on the list. Name* First Last Instrument(s)* Designation (NCTM or others)* Piano Visiting Artists must maintain their MTNA Certification. Please check here to verify that you have renewed your Certification. I have renewed my Certification for 2021-2022 Are you affiliated or employed by any college or university? If so, please indicate the name of the institution. Please indicate your favored method of communication. Email Phone Regular mail Primary Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Secondary Address (College or university, business office, etc) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Primary Phone*Secondary PhonePrimary Email* Secondary Email Please indicate the maximum number of days for a single Adjudication event. Please indicate any preferences or requirements. (This is where you should indicate if you would prefer to adjudicate only upper levels, days of the week preferred, traveling notes, etc.) Short BiographyPlease insert a 100-150 word biography - no more than 800 characters. This can be used by the chapters for the Music Artistry Program on their websites.