Canada 150 Art Acquisitions Program for NB Schools

APPLICATION FORM – For Artists

Deadline: October 31, 2017

View program information and guidelines on our website.

Required Materials for Submission

  1. Signed and completed Application Form;
  1. One photograph for each artwork is required. Note: a maximum of 5 artworks and a maximum of 5 photographs are permitted; All photographs must be in JPG format, at a minimum resolution of 300 dpi. Identify each photograph separately (ex. JANEDOE_1.jpg, JANEDOE_2.jpg, etc).

Submission Process

Email the following to

□ Application Form (Word format)

□ Photographs of artworks (JPG format, minimum resolution 300 dpi)

NOTE: The government’s email system has a limit of 9-10MB for any attachments. Send several emails or use Dropbox for large files.For more information or questions, contact ; Telephone: 506-453-2763

Artist Information

Name: ______

Address: ______City: ______Postal Code: ______

Telephone: (work) ______(home) ______

Email: ______Website: ______

Twitter:@______Facebook: ______

Artist’s Bio (max. 150 words):

To encourage schools to connect with their local artists, please select which school district(s) best applies to where you are located.

Check all that applies:

[ ] Anglophone North (Campbellton, Bathurst, Miramichi and Rexton regions)
[ ] Anglophone South (Sussex, Saint John and St. Stephen regions)
[ ] Anglophone East (Dieppe and Moncton regions)
[ ] Anglophone West (Fredericton, Oromocto, Woodstock and Edmundston Regions)
[ ] District scolaire francophone Nord-Est (Campbellton, Bathurst, Miramichi and Rexton regions)
[ ] District scolaire francophone Nord-Ouest (Grand Falls, Edmundston, Saint-Quentin and Kedgwick regions)
[ ] District scolaire francophone Sud (Miramichi, Rogersville, Saint-Louis-de-Kent, Dieppe, Moncton, Fredericton, Oromocto, Woodstock,
Saint John and St. Stephen regions)

List of Artworks(maximum 5 artworks)

Note: The price of the artwork includes reproduction rights for presentation of the artwork on the web, the rights to display the artwork in a public school in New Brunswick, shipping, handling and taxes (HST).

Image #1 / Price: $
Title of work: / Date of work:
Medium (List All materials):
Dimensions: Height (cm): / Width (cm): / Length (cm):
Image #2 / Price: $
Title of work: / Date of work:
Medium (List All materials):
Dimensions: Height (cm): / Width (cm): / Length (cm):
Image #3 / Price: $
Title of work: / Date of work:
Medium (List All materials):
Dimensions: Height (cm): / Width (cm): / Length (cm):
Image #4 / Price: $
Title of work: / Date of work:
Medium (List All materials):
Dimensions: Height (cm): / Width (cm): / Length (cm):
Image #5 / Price: $
Title of work: / Date of work:
Medium (List All materials):
Dimensions: Height (cm): / Width (cm): / Length (cm):

Nameof Artist: ______Date: ______

[ ] By checking this box, Icertify that I am an artist residing in New Brunswick or on a First Nation in New Brunswick, have read the guidelines and acknowledge that the information provided in this application is accurate and complete.

Email Application Form to