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| Contact Information: Last Name: ______________________________________ |
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| First Name: ______________________________________ | |
| Street Address: ___________________________________ | |
| City: ____________________________ Zip ____________ | |
| Home Phone Number: ______________________________ | Work Phone Number: ______________________________ |
| Cell Phone Number: ________________________________ | |
| Fax Number: _____________________________________ | |
| Email Address: ___________________________________ | |
*This contact information will be displayed on the AOV website so |
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Artist Information: Year of birth: (optional) ____________________________ Place of birth: (optional) ____________________________ |
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| Degree: ____________Institution:___________Year:_____ | |
| Mediums Employed: ____ ceramics ____ fibers/textiles ____ glass ____ mixed media ____ original prints ____ paintings ____ photographs ____ sculpture |
Artist Statement: *(max 250 words) ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ |
| Solo Exhibitions: *(please note juried shows) Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ |
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| Group Exhibitions: *(please note juried shows) Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ Date _____Name________________Location___________ |
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| Website Url: _____________________________________ Additional Url(s): _________________________________ Additional Url(s): _________________________________ | |
| Awards & Distinctions: Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ |
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| Teaching Experience: (*art related) Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ |
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| Bibliography: Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ Date _____Description _____________________________ |
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Please send form and $48.00 payment to: (415) 386 6601 or Fax (415) 386 6555 |
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