State Employee Art Show Application Form

Fill in the following information to enter your work in the next Show ...

Please provide us with contact information:

First Name:
Last Name:
Agency (now or previously):
Street Address:
Address (cont):
City:
State:
Zip:
Work phone:
Home phone:
FAX:
E-mail:
Website:

Please provide the following information about your first submitted work:

Name of Work
Medium (watercolor, photography, etc)
Size in inches (height x length)
Year Created
Estimated (or Actual) Price (for insurance)

Please provide the following information about your second submitted work:

Name of Work
Medium (watercolor, photography, etc)
Size in inches (height x length)
Year Created
Estimated (or Actual) Price (for insurance)

Rhode Island State Council on the Arts
Last revised: October 11, 2003