Public Art Grant Artist Selection Form

Public Art Project
Artist Selection Form

Northwest Regional Arts Council - NWRDC - 115 South Main - Warren, MN 56762

1. Applicant Organization (Name, Address, City, Zip)

Day Phone
Project Director 2. Artist (Name, Address, City, Zip)

Day Phone

3. Please state briefly below why you selected this artist.

3. Send this form and the resume of the artist you have chosen to our office as soon as possible. Make sure it lists their qualifications and ability to complete the work. Pictures, slides, or video tape examples of the artists work should also be enclosed. (Please call if you need help selecting an artist.)

4. Please have your artist sign on the line below certifying that they will complete a model of the project and present the model before the Arts Council. This is continent upon the Arts Council approval of the artist. If approved, this form will serve as a request for $500.00 for the completion of the model.

Typed Name Signature Date

Artist

Project Director

FOR OFFICE USE ONLY

Date Rcvd _______________ Application # _______________ Approval Date _______________

	Typed Name	Signature	Date
Artist
Project Director

FOR OFFICE USE ONLY
Date Rcvd _______________	Application # _______________	Approval Date _______________