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2018-2019 Healing Art Showcase Entry Form
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Phone number: _______________________________________________________________________
Email Address: _______________________________________________________________________
Are you a WSU student □ Yes □ No
What is your year in school and major? _____________________________________________________
What are your pronouns (e.g., he, she, they, ze)? ______________________________________________
Title of Work: ________________________________________________________________________
Completion date: ______________________________________________________________________
Medium: ____________________________________________________________________________
Height: _________________________Width: __________________________
Do you want your name attached to your artwork? □ Yes □ No
May we display your Artist Statement/Inspiration with your artwork? □ Yes □ No
Artist Statement/Inspiration for this artwork (PLEASE TYPE OR SUPPLY A TYPED COPY):
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please attach a photo (JPEG, minimum of 75 dpi) of your artwork.
Submit entries to Dr. Marci Young at marci.young@wichita.edu. Be sure that all information is complete on
submissions.
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Completed 11 March 2020

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