PLEASE PRINT

Name: __________________________________________________________________

Address: ________________________________________________________________ (Street)

_______________________________________________________________________ (City)(Zip)

Phone: (          ) _______________________________

Email: _______________________________________

With this completed Exhibit Submission Form you will need to also send slides, high quality photos and/or a DVD of work for review, as well as a written exhibition proposal, names and examples of work from all artists included in the proposal, and also a SASE for return of materials. Mail completed entry form to Hideki Kihata, Chair, Department of Art, University Art Gallery, 7400 Bay Road, University Center, MI 48710, or for further information contact Hideki Kihata at SVSU (989) 964-4159 or kihata@svsu.edu. 

________________________________________________            ______________________

Signature of Artist                                                                                          Date

If submitted proposal is chosen for an exhibit in the University Art Gallery, by signing this form, I authorize the University and its agent to photography my work for publication and publicity purposes.