APPLICATION FOR CAPITOL COMPLEX EXHIBITION PROGRAM
1) Name of Artist or Organization:_______
__________________________________________________________
2) Address:_______
_______________
_____________________________________________________________
(Street)
FLORI
DA ______
(Cit
y) (State) (Zip)
3) Contact Person: ___________________
__________________________________________________________
4) Telephone:
5) Email:_____________________________
(Work/Studio) (Fax)
6) Web Site:__________________________
7) Title of exhibit: ______________________________________________________________________________
8) Media to be included: ________________________________________________________________________
9) Estimated size of exhibit in running feet: _________________________________________________________
10) Estimated number of works: ________
___________________________________________________________
11) Brief statement of the cultural significance of the exhibit for the people of Florida:__________________________
12) Preferred dates for exhibit
(2-3 month m
inimum): ___________________________________________________
13) Special consideratio
ns or needs for exhibit: _______________________________________________________
______________________________________________________________________________________
14) Questions or comments: _____
_________________________________________________________________
______________________________________________________________________________________
________________________________ ____________________
(Signature) (Date)
RETURN TO:
Capitol Complex Exhibition Program
Florida Division of Cultural Affairs
500 South Bronough St, Third Floor
Tallahassee, FL 32399-0250
The following items must be submitted with application:
1. Artist's resume / biograp
hy.
2. Color slides, photographs or CD with digital image
s of artworks intended for the exhibit.
3. Slide / Image identification sheet listing artist, title, medium, dimensions, & date of completion for each artwor
k.
4. Interpretive paragraph or exhibition mission statement that could be included in the prop
osed exhibit or brochure.
5. Signed form indicating acknowledgement of CCE Policies and Procedure
s.
03/07 CA2E093
