· web viewfill via web form. using above link, and . ... i mage numbers should correspond to...
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FlourishAn Exhibition of Artwork
by Vermont Artists with Disabilities
APPLICATION FORM
VSA Vermont, the Flynn Center, and Vermont Association for the Blind and Visually Impaired
seek artwork that is of high artistic quality,
demonstrating originality, imagination, skillful use
of materials, and quality of craft.
Application Postmark or Email Deadline: September 29, 2017
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Options for filling out the application:
Application forms and options online:
http://vsavt.org/flourish/how-to-apply
Print out and fill in by hand, then mail to VSA VT
with a CD of images Fill in MS Word document, then print and mail
to VSA VT with a CD of images Fill in MS Word document, then email to VSA VT
with digital images Fill via web form using above link, and upload
your images within the form
To request a paper or large print format for the
application and instructions, contact VSA Vermont.
Braille is available upon request for reference only.
Applications cannot be submitted in Braille.
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Information:VSA Vermont – Heidi Swevens
802-238-5170 Voice and Relay calls welcome
Required: Artist Contact Information:
First Name:_____________________________
Middle Name or Initial:____________________
Last Name:_____________________________
Mailing Address
City _______________________________
State ______________________________
Zip Code ___________________________
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Daytime Telephone: __________________________ Voice: TTY: ___________________________________
Evening Telephone: ____________________________
Voice: TTY: ___________________________________
Cell phone: Voice: ______________________________
TTY: _________________________________________
Email address: __________________________________
Website: _______________________________________
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Date of Birth:
Month _________________________________
Day ___________________________________
Year ____________________________________
How did you find out about the call for artists for
the Flourish exhibit?
Would you like to receive email announcements
of other VSA Vermont opportunities?
Yes:___________ No: ____________
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If Applicable: Contact Information for Support Person
Assisting with This Application
First Name ___________________________________
Middle Name or Initial___________________________
Last Name_____________________________________
Mailing Address
City ______________________________________
State______________________________________
Zip Code____________________________________
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Daytime Telephone:_____________________________
Voice: TTY: ____________________________________
Evening Telephone: _____________________________
Voice: TTY: ____________________________________
Cell phone: Voice: ______________________________
TTY: __________________________________________
Email address: __________________________________
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Required: Artist ProfilePage 7 of 21
What are your artistic discipline(s) or media? For example: ceramic, collage, painting, fiber arts, etc:
How would you describe your artistic genre? For example: abstract, landscape, etc:
When did you start creating artwork?
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What motivated you to begin?
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Describe your techniques and how your artwork has developed over time.
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Is there anything else you’d like to tell us about yourself or your artwork?
_______________________________________________
Required: Samples of Artwork
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Please submit up to five (5) digital images
in JPG format via email, on a CD, or uploaded.
Digital images should be saved in JPG format at a
high quality (300dpi), with a file size
of no more than 5MB each.
Should have a minimum image size of 800 pixels x 600 pixels.
JPG files should be saved using
the applicant name and image number. For example
o “HeidiSwevens001.jpg”
o “HeidiSwevens002.jpg”
Image numbers should correspond to the titles and numbers on your image list below
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If used, CDs should be labeled with the applicant name directly on the CD itself, not on the CD case.
CD must be in MS Windows readable format.
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Image List
Image 001
Title: _____________________________________
Year Completed: ____________________________
Media: ____________________________________
Dimensions: ________________________________
Image 002
Title: ______________________________________
Year Completed: _____________________________
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Media: _______________________________________
Dimensions: ___________________________________
Image 003
Title: __________________________________________
Year Completed: ________________________________
Media: _________________________________________
Dimensions: ____________________________________
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Image 004
Title: __________________________________________
Year Completed: _____________________________
Media: ______________________________________
Dimensions: __________________________________
Image 005
Title: _________________________________________
Year Completed: _______________________________
Media: _______________________________________
Dimensions: __________________________________
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Optional: Tell Us More About You
This section is not required for participation in the
Flourish call for art. Your decision to complete or not
complete this section will not affect the consideration
of your art. However, information from this section may allow Flourish partners to let you know about additional opportunities, such as teaching or mentoring.
Do you have formal training in the arts?
Yes: ____________
No: _____________
If so, where did you study?
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Please list any degrees held. Example: BA, BFA, MA, MFA
If you have exhibited before, please list some sample
exhibit sites, including the name, the date, and whether the
show was juried or non-juried.
_______________________________________________
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If you have experience teaching
or as an artist-in-residence,
briefly describe the instructional programs you offer.
What groups do you serve with your instructional
programs? Check all that apply.
Preschool ______________________
Adults ________________________
Children _______________________
Youth _________________________
Individuals with disabilities _________
Other: please explain _____________
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Describe any experience you have working in the field of
community arts, scholarship or criticism in the arts,
or arts administration.
Would you be interested in becoming an arts mentor?
Yes: _______________
No: ________________
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Important information about sending your application:
Please do not send original artwork with your application.
VSA Vermont cannot accept faxed applications.
Late applications cannot be accepted.
VSA Vermont cannot be responsible for applications lost in transit.
After you send in your application, changes cannot be made. VSA Vermont will contact you if
something needs clarification.
All physical application materials become the property of VSA Vermont and will not be returned.
Submission ChecklistPlease check to see if you have included:
_____Completed application form_____CD Rom with digital images of artwork
OR digital file attachments
_____Image list
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Postmark or Email Deadline:September 29, 2017
Mail to:VSA Vermont
21 Carmichael Street
Suite 206
Essex Junction, VT 05452
Or Email to:[email protected]
With questions about this application process,
contact:Heidi Swevens
VSA Vermont
[email protected] and Relay calls welcome
http://vsavt.org/flourish
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