Tourism, Heritage and Culture

Tourism, Heritage and Culture

New Brunswick Art Bank Acquisitions Program

Application Form

Deadline: November 15, 2013

Application Information

Please review Selection Criteria at http://www.gnb.ca/0131/art_bank-e.asp.

Required documentation (Note: All artwork must meet the Selection Criteria.)

·  Signed application form;

·  CD-Rom or USB flash drive with each artwork clearly identified. Please note: Images sent by Email will not be accepted. However, signed application forms may be emailed;

·  Résumé or biographical information with professional and artistic achievements;

·  Information on the theme, subject-matter and the process used in creating the artwork or series of artworks;

·  Presentation or display requirements, as appropriate.

Note: A maximum of 10 artworks may be submitted.

Artist’s Name:
Address:
Telephone: / (work) / (home)
Email: / Website:

Images

Image #1
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #2
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #3
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #4
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #5
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #6
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #7
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #8
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #9
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)
Image #10
Title of work: / Date of work:
Medium:
Dimensions: Height (cm) / Width (cm) / Length (cm)

Artist’s Signature

I, ______[name of artist], certify that I am a Canadian citizen or landed immigrant who has resided in New Brunswick for 12 consecutive months prior to the application deadline, that I pay personal income taxes in New Brunswick, and that the information included in this application

______

Signature of artist Date

Mail or Email Application Form to:

PO Box 6000, Place 2000

250 King Street

Fredericton, NB, E3B 5H1

Email:

Telephone: (506) 444-5303

Note: Images will not be accepted by email

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