Flourish
An 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:
- 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.
Information:
VSA Vermont – Heidi Swevens
802-238-5170Voice and Relay calls welcome
Required: Artist Contact Information:
First Name:______
Middle Name or Initial:______
Last Name:______
Mailing Address
City ______
State ______
Zip Code ______
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: ______
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______
Daytime Telephone:______
Voice: TTY: ______
Evening Telephone: ______
Voice: TTY: ______
Cell phone: Voice: ______
TTY: ______
Email address: ______
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Required: Artist Profile
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?
What motivated you to begin?
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Describe your techniques and how your artwork
has developed over time.
Is there anything else you’d like to tell us about yourself or your artwork?
______
Required: Samples of Artwork
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
- “HeidiSwevens001.jpg”
- “HeidiSwevens002.jpg”
Image numbers should correspond to the titles and numbers on your image list below
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: ______
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: ______
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?
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 ______
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 Checklist
Please check to see if you have included:
_____Completed application form
_____CD Rom with digital images of artwork
OR digital file attachments
_____Image list
Postmark or Email Deadline:
September 29, 2017
Mail to:
VSA Vermont
21 Carmichael Street
Suite 206
Essex Junction, VT 05452
Or Email to:
With questions about this application process,
contact:
Heidi Swevens
VSA Vermont
802-238-5170
Voice and Relay calls welcome
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