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Application – Trash to Treasure Collection – Portable Art Kiosks
Name_____________________________ Date ______________
Address _________________________________________________
_____________________________________________
_________________________________________________
Phone(1) __________________ Phone(2) ___________________
Pay Pal email or associated phone number for stipend payment__________________________________________
Email _________________________________________________
Website and other social media _____________________________________________________
Tell us more about yourself:
Social Justice Topic: _________________
Art Work Statement example:
How is your work sustainable?:
Explain why you would like to participate in this ACW sustainable kiosks:
Are you interested in sitting table events?:
Art to Change the World is looking for artists that can produce art and items to be placed in Art to Change the World’s sustainable kiosks. If you have more than one item you’d like to submit, please copy and paste this section for each item.
Item Title______________________________________________
Item Price________________________________________
Item Description__________________________________________
Quantity can make________________________________________
Date can make items by_____________________________________
Please describe your reproduction plan if requested to make more items for the kiosk:
Please send high resolution image JPEGs, not exceeding 10MB. Title JPEGs as follows:
ArtistLastName_FirstName_Title_Submission#
By Signing below, I acknowledge that the information contained within accurately represents the proposal being submitted. I have read, and understand, the requirements for all artists participating. If Accepted, I will attend required trainings to be a participating artist.
Signature ____________________________ Date ________________
Return Resume and application to: info@arttochangethewprld.org
Office Use
_____ Date of ACW Membership. _____ Initials _____ Date Rcd
_____ Jury Date ______ Final Status _______ Notification Date