Faculty/Staff Art Exhibition Application Form

November 1-Dec. 7, 2012
Application Deadline: October 25, 2012

* Indicates required field
* Your name:
* Brandeis Affiliation: Staff Faculty Emeritus
* Department:
* Position/Title:
* Year you started working at Brandeis:
Brandeis class year (if applicable):
* Email Address:
* Campus Mailing Address:
* Phone Number:
Other Phone Number (if desired):

* Submitting work in (check as many as apply):
2D (painting, drawing, printmaking) 3D (sculpture)
Fine Crafts (glass, metalwork, weaving, etc.) Photography
Installation Jewelry
Video Other (describe)

You may submit up to 5 pieces. Please list them here.
Title Medium (painting, photography, etc.) Approximate size (height/width/depth) Year created
Please write a paragraph about yourself: what you do at Brandeis, what you do at home, what you want to communicate with your art, etc. This text will be displayed along with your art. The organizers will edit all entries for consistency and length.

OPTIONAL: send us images of your artwork.
1) Send photocopies or photographs of your work to: 2)Email .jpg or .gif files to:
Ingrid Schorr
MS 052, Brandeis University
415 South Street
Waltham, MA 02454-9110
Please name each file with your last name and the tile of the work. For example, SmithHorses.jpg, LynchPortrait.gif.