First Name:
Last Name:
Address:
City:
State:
Zip:
Country
Phone:
Use hyphens or space to separate numbers, ex. 717-555-1212
E-mail:

Name of Graduate School or Program:

Please upload 3 images of your work. All mediums are acceptable. Images should be Jpeg format and at least 400 dpi. Please label each file with your first and last initial and assign each itema a number starting with 1.

Below you can fill in the information for your work: title, date size, medium. If there is no title just write untitled.

Image 1
Title:
Medium:
Size:
Date:
Additional Info
Image:

Image 2
Title:
Medium:
Size:
Date:
Additional Info
Image:

Image 3
Title:
Medium:
Size:
Date:
Additional Info
Image:

Video 1
Title:
URL:
Date:
Additional Info

Video 2
Title:
URL:
Date:
Additional Info

Video 3
Title:
URL:
Date:
Additional Info

Artist Statement:
Resume: