Required items are indicated with an asterisk(*)

Last Name*
First Name*
Middle Name
Address*
City*
State*
ZIP*
Phone (day)*
Fax
Email
For statistical use only:
Male          Female
Anglo         African-American, Non-Hispanic       American-Indian or Alaskan Native
Other:
Please indicate those terms which best describe your predominant body of work:
Painting/Drawing	Photography
Sculpture	Film/Video
Ceramic	Fiber
Other:
Please submit the following information in vitae/resume form by either by copying and pasting the information (in .txt format) or, sending it separately by US Mail to the following address:
Selected Exhibitions
Exhibition Awards/Catalogs
Publications/Reviews
Public Collections
Commissions; Public or Private
Professional Organizations
Art Education
Grants/Fellowships
Current Gallery Affiliations
Curriculum Vitae (optional) copy and paste your CV here: