ART ACQUISITION THROUGH SLIDE SUBMISSION
Deadline for Submission
Artist Information
Name of Artist:
Address: City: Postal Code:
Telephone: (Bus) (Res) Fax:
Place of Birth: city province country Date of Birth: mm dd yy
Most recent post-secondary education in art (NA if not applicable):
Duration of attendance: Completion date: mm dd yy
Resume enclosed 
Artist's statement enclosed
Represented in AFA Art Collection
Artist Agreement
I acknowledge and agree that the program guidelines form part of this application. I have reviewed the application and accompanying documents, and to the best of my knowledge and belief, the information contained herein is true and· complete in every aspect. I consent to the disclosure of the personal-information contained in this application to individuals and organizations involved in researching the arts, to individuals and organizations involved in the promotion of the arts and for uses which are consistent with these two purposes.
Signature
Date
Name (type or print)
COMPLETE THE FOLLOWING SECTIONS IF SUBMITTING ON BEHALF OF THE ABOVE NAMED ARTIST
Name of person/gallery submitting
application
Contact: Title:
Address: ity: Postal Code:
Telephone: (Bus) Res: Fax:
Artist’s authorization of submission by a commercial gallery/agent:
"I, understand that only one submission will be accepted per artist. I
hereby
authorizeto submit on my behalf."
Artist’s signature
Date
PLEASE COMPLETE REMAINDER OF APPLICATION ON THE NEXT PAGE