Artwork Insurance Declaraton.xls

					                     APPLICATION INSTRUCTIONS FOR ARTISTS

An application consists of artwork image files and the 1 WW Artwork Submission Worksheet (MS Excel
file). Please complete this electronic application worksheet and submit with a copy of your images. We
only accept electronic submissions. Only complete applications will be considered.

NOTE: Our email system has a maximum size restriction of 15 megabytes. If your submission is larger
than that, we recommend sending multiple emails, labeling each email, x of y (e.g., 1 of 4).

This worksheet has multiple tabs. Blue shaded areas are reserved for Department use. Artists need to
complete ALL non-shaded areas of tabs F-00205, F-00205A and F-00205B.


F-00205 Artwork Insurance Value Declaration and Receipts
Includes artist contact information, file names of the digital images, medium, dimensions (width x height
that includes frame size in dimensions), year created, whether artwork is to be included in the display
cabinet or on the wall, and dollar value of each work.

    Select tab F-00205 from the bottom of the worksheet.

    SECTION I. CONTACT INFORMATION
       o Select the dropdown box to choose Individual or Group Exhibit.

        o   Type last name, first name, email address, and phone number with area code.

        o   Type address, city, state, zip and your website address (if applicable).

        o   If you are submitting a group exhibit, type in your Exhibitor Organization Name.

    SECTION II. INSURANCE VALUE DECLARATION
       o You may submit a maximum total of 15 artworks for an individual exhibit and a maximum of
          30 artworks for a group exhibit.

        o   List all files using the following naming pattern: (artist last name_title.file ext or
            group name_title.file ext). For example, Jones_flowers.jpg or ABC Artists_flowers.jpg)

        o   The file names that you list on the spreadsheet should match the files that you submit with
            your application. Once you have listed the files on the spreadsheet, verify that the file names
            on the spreadsheet match the file names of the actual images. It may be necessary to
            rename the images so that they match the spreadsheet. For example, when using a digital
            camera, most of the images are automatically assigned a name such as 3205.jpg or
            IMG_3205.jpg. You would need to save these images to your computer. Once saved, rename
            the image file (i.e., on a PC, right click with your mouse and select rename). You can then
            rename the file to match the file names in the spreadsheet.

        o   Under medium, please indicate what type of artwork is being displayed (i.e., photography, oil
            paintings, drawings, etc.)

        o   Please list the TOTAL size of your image: WIDTH then HEIGHT. Do not list the size of the
            unframed artwork. The size that you list must include the frame size.

        o   Type in the year that the artwork was created.




        o   Select yes or no in the wall hung and display cabinet columns indicating your choice of how
            you want your artwork displayed. Our preference is that the display cabinet be used for 3-
            dimensional artwork (e.g., pottery) and not to display artwork that could be hung on a wall
            (e.g., photos, paintings, etc.).
        o   Select yes or no in the wall hung and display cabinet columns indicating your choice of how
            you want your artwork displayed. Our preference is that the display cabinet be used for 3-
            dimensional artwork (e.g., pottery) and not to display artwork that could be hung on a wall
            (e.g., photos, paintings, etc.).

        o   Type in the dollar value of the artwork (this is used for insurance purposes).



F-00205A Tab Artwork Availability
Includes the artist’s preferences on when he/she would like to display their artwork for the available three-
month time periods, and the total number of artworks he/she proposes to display.

    Select tab F-00205A from the bottom of the worksheet.

    SECTION I. CONTACT INFORMATION
       o  Automatically filled in. If you want to make any changes, you will need to make them on the
          F-00205 tab.

    SECTION II. NUMBER OF ARTWORKS AND DISPLAY FORMAT
       o  Indicate how many pieces of artwork you are proposing to be displayed in the display cabinet,
          wall hung with theft deterrent or wall hung with clips. The total of all 3 lines should match the
          total number of files indicated on tab F-00205.

        o   Select yes/no for whether or not you will provide an artist statement for the display cabinet
            and/or wall.

    SECTION III. PERMISSION FOR ARTWORK TO BE ON THE INTERNET
       o  Select yes/no on whether or not you authorize your artwork to be displayed on the public
          internet site for the Department of Health Services.

    SECTION IV. DISPLAY PERIODS AVAILABILITY
    o  Depending on whether or not your artwork is being displayed on the wall, in the display cabinet or
       both, type your 1st, 2nd, 3rd, and 4th choice for dates. Select the link to view the available dates.
        Available display periods: http://dhs.wisconsin.gov/aboutdhs/artwork/call.htm#periods



F-00205B Artist Biography and Description of Artwork
Indicates the artist's connection to the Department (e.g., employee; resident or patient of DHS-operated
facilities; or family or friend of a DHS employee). Includes a biographical paragraph briefly describing the
artist, the exhibit and the artistic process/vision.

    Select tab F-00205B from the bottom of the worksheet.

    SECTION I. CONTACT INFORMATION
       o  Automatically filled in. If you want to make any changes, you will need to make them on the
          F-00205 tab.

    SECTION II. ARTIST CONNECTION TO DEPARTMENT OF HEALTH SERVICES
       o  Describe your connection to the Department of Health Services. See additional instructions
          on tab.

    SECTION III. ARTIST BIOGRAPHICAL INFORMATION
       o Provide a biographical paragraph briefly describing yourself, your exhibit and your artistic
          process/vision. See additional instructions on tab.
DEPARTMENT OF HEALTH SERVICES                                                                                                                                                        STATE OF WISCONSIN
Division of Enterprise Services                                                                                                                               1 WW Artwork Submission Worksheet
F-00205 (03/11)

                                                             ARTWORK INSURANCE VALUE DECLARATION AND RECEIPT
Please complete the following information. Do not complete shaded areas, which are meant for Art Display Committee staff only.
See Instructions tab if you have questions.

SECTION I. CONTACT INFORMATION                                                                   Identify if this is an Individual or Group Exhibit                    Application ID Number
Name of Artist or Exhibitor Contact
Last Name                                                           First Name                   E-mail Address                                                        Phone Number


Street Address                                                      City                         State     Zip Code       Artist / Exhibitor Website or Blog Address


Exhibitor Organization Name (Group Exhibits Only)                                                Purpose of Loan                             Exhibit Start Date        Exhibit End Date
                                                                                                 1 West Wilson Artwork Exhibition
SECTION II. INSURANCE VALUE DECLARATION - Maximum of 15 artworks for individual exhibits, and 30 artworks for group exhibits
                          Image File Name                                                                                           Y/N
                                                                                                                          Y/N Wall
        (artist last name_title.file ext or group name_title.file                         Size (W x H) -                           Display                Approval
                                                                                                           Year Created    Hung
App. ID                             ext)                                         Medium   Include frame                            Cabinet     Value       Status         Received        Exhibit Condition

   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
   0
  0
  0
  0
  0
  0
  0
  0
  0
  0
  0
  0
  0
  0
  0                                                                                                         $0
SECTION III. DELIVERY RECEIPT                                                  RETURN RECEIPT
Name of Person Delivering Artwork                                              Expected Return Date              Name of Person Picking Up Artwork


SIGNATURE of Person Delivering Artwork   Received By (SIGNATURE of DHS rep.)   Date Artwork was Picked Up        SIGNATURE of Person Picking Up Artwork
DEPARTMENT OF HEALTH SERVICES                                                                                         STATE OF WISCONSIN
Division of Enterprise Services                                                                          1 WW Artwork Submission Worksheet
F-00205A (03/11)

                                           ARTWORK AVAILABILITY SCHEDULE
INSTRUCTIONS
Please complete the following information. Do not complete shaded areas, which are meant for Art Display Committee staff only.


SECTION I. CONTACT INFORMATION                                                                                     Application ID Number
                                                                                                                               0
Name of Artist or Exhibitor Contact
Last Name                                     First Name                          E-mail Address                   Phone Number

                                          0                                   0                                0               -
Street Address                                City                                State    Zip Code Artist/Exhibitor Website or Blog Address
                                          0                                   0      0         0                                             0

SECTION II. NUMBER OF ARTWORKS AND DISPLAY FORMAT
Indicate the number of artworks you are proposing to display and the method for displaying them. Maximum of 15 artworks for individual
exhibits and 30 artworks for group exhibits. All proposed artworks MUST be listed in Section II of the first tab (F-00205 tab) of this
worksheet. NOTE: For items selected for the Display Cabinet, the Art Display Committee reserves the right to arrange the exhibit, with
the focus on the selected artworks. Other items included by the artist to "enhance" the display may not be allowed, e.g., cloth material,
trinkets, props, etc.



Enter
Number of
Proposed
Artworks Method of Display
             Number of Artworks for the Display Cabinet
             Number of Artworks to be Wall Hung with the Theft Deterrent System
             Number of Artworks to be Wall Hung with Clips (No Insurance Provided)
                                                                                  Select
                                                                                  Yes/No
Will you provide an artist's statement for your display case exhibit?
Will you provide a framed artist's statement for your wall display exhibit?


SECTION III. PERMISSION FOR ARTWORK TO BE ON INTERNET
Each artist, whose artwork has been selected by the Art Display Committee, will be featured on the internet at
http://dhs.wisconsin.gov/aboutdhs/artwork. This will include a short biographical statement, written by the artist (tab F-00205B), as well as
a sample of submitted images selected by the Art Display Committee. The Art Display Committee will add a "protected image" watermark
to each image that is included on the internet.
                                                                                                                   Select
                                                                                                                  Yes/No
I give permission to the Art Display Committee to post a sample of my images on the internet


SECTION IV. DISPLAY PERIOD AVAILABILITY
View the link "Available display periods" to see which 3-month display periods are "partially open" or "open" for opportunities to display
new artwork. Then type in the time period your artwork could be available for display for your first through fourth choices. If you are
proposing to display your artwork in both the Display Cabinet and the Wall Display, fill in both sectons.

Available display periods: http://dhs.wisconsin.gov/aboutdhs/artwork/call.htm#periods

                        Cabinet Display Periods                                                    Wall Display Periods

1st choice                                                                            1st choice

2nd choice                                                                            2nd choice

3rd choice                                                                            3rd choice

4th choice                                                                            4th choice
DEPARTMENT OF HEALTH SERVICES                                                                                STATE OF WISCONSIN
Division of Enterprise Services                                                                 1 WW Artwork Submission Worksheet
F-00205B (03/11)

                                      ARTWORK BIOGRAPHICAL INFORMATION
Instructions
Please complete both Section II and Section III, as this information will be posted on the internet at
http://dhs.wisconsin.gov/aboutdhs/artwork. Do not complete shaded areas, which are meant for Art Display Committee staff only.


SECTION I. CONTACT INFORMATION                                                                                 Application ID Number
                                                                                                                         0
Name of Artist or Exhibitor Contact
Last Name                                 First Name                 E-mail Address                            Phone Number

                                      0                          0                                         0             -
Street Address                            City                       State    Zip Code     Artist/Exhibitor Website or Blog Address

                                      0                          0      0             0                                            0

SECTION II. ARTIST'S CONNECTION TO DEPARTMENT OF HEALTH SERVICES

Describe your connection to the Department of Health Services: DHS employee (give name of Bureau/Office/Facility and
Division); resident or patient of a DHS-operated facility; friend or relative of a DHS employee (give name of DHS employee).
(enter text here)




SECTION III. ARTIST BIOGRAPHICAL INFORMATION

Provide a biographical paragraph briefly describing yourself, your exhibit and your artistic process/vision. For individual exhibits,
the brief narrative should be written in the first person, e.g., "My name is xxx and I am ...," and for group exhibits, in the third
person, e.g., "We are a local group of artists..." Keep in mind the audience is the general public. You may include contact
information, such as your websites, blog addresses or your personal e-mail address. Do not list a State of Wisconsin e-mail
address as your contact e-mail address. You may sell your artwork after your display period is over; however, do not list any prices
in this biographical section. Refer the reader to your website or other appropriate contact information. NOTE: The Art Display
Committee reserves the right to edit your narrative for appropriateness and length of text for the internet.
(enter text here)
App ID   First Name       Last Name       E-mail Address
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
  0                   0               0                    0
Image File Name       Medium       W   H
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0
                  0            0   0   0

				
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