A-Y-P: Indigenous Voices Reply
Juried Art Submission Form
Due: February 15, 2009
Please fill out this form and send it by email or snail mail with up to five images of one work of
art that you would like to submit for consideration for inclusion in the exhibit A-Y-P: Indigenous
Voices Reply, to beheld at the Burke Museum from May 30 — Sept. 7, 2009. If selected, your
piece must be sent to the Burke Museum by March 31, 2009. Works included will be on loan
and insured during the exhibit, and returned to the artists after the close of the exhibit. Shipping
expenses will be covered by the Burke Museum.
Name:______________________________________________________________________
Address:____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Telephone Number:_______________________ Email:____________________________
Tribal or community affiliation:_________________________________________________
Please attach a brief biography (maximum two pages)
Description of piece being submitted:
Title_______________________________________________________________________
Medium____________________________________________________________________
Size_______________________________________________________________________
Date_______________________________________________________________________
Send to:
email: bholmctr@u.washington.edu
or snail mail to:
Robin K. Wright
Burke Museum, Box 353010
University of Washington
Seattle, WA 98195-3010