Date: I am: ___the Artist ___the Donor (check one or both)
Donor Name:
Artist Name:
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Donor Address:
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E-mail Address:
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Fax Number: Website:
Artist's birth year and City/State:
Artist's connection to Iowa:
Artist's current address:
Artist is an Alum: ___ Yes ___No If Yes, Campus: ____________ Date range: __________________
Donor is an Alum: ___ Yes ___No If Yes, Campus: _____________ Date range: ________________
Title of the artwork:
Date(s) artwork was created:
Where was art created? (e.g., studio, in the field, etc.):
Dimensions (HxWxD) in inches:
________ x _______ x ________
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Artist's death year (if applicable) and City/State: ___________________________________________
Thank you for your gift! SCC students, employees and visitors will benefit from your generosit.
Please provide as much detail as possible.
Information provided will complete our records on your donation to SCC's permanent art collection.
