Solana Beach's Temporary Public Arts Program Application Question Title * 1. Artist Information (Each section must be filled to be accepted) Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. Sculpture Information (Each section must be filled to be accepted) Title Collection Medium/Materials Dimensions Weight Estimated Value Question Title * 3. Please upload a photo of the piece PDF, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please upload a photo of the piece Question Title * 4. If necessary, please upload an additional photo PDF, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File If necessary, please upload an additional photo Question Title * 5. If necessary, please upload an additional photo PDF, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File If necessary, please upload an additional photo Question Title * 6. Please provide a brief description of the piece Question Title * 7. Please provide a brief artist statement Question Title * 8. Is the piece available for sale? Yes No Question Title * 9. Please explain in detail how the sculpture will be safely transported, installed and secured to the 4’ x 4’ concrete pad. This is a critical component of the selection process. If this is not answered thoroughly or not not deemed safe enough, the piece will not be accepted. Question Title * 10. How is the piece prepared to withstand the outdoor coastal environment during the year loan? Question Title * 11. Are there any concerns about the piece being outdoors that the selection committee should be aware? Question Title * 12. If selected, are you prepared to install the piece in November or December? Yes No Other (please specify) Question Title * 13. Please upload your W9 A W9 can be easily found online or email kmoshki@cosb.org for a blank W9. PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File A W9 can be easily found online or email kmoshki@cosb.org for a blank W9. Done