APPLICATION
Last Name:  

First Name:

Mailing Address:

City:   

State:  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusettes Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Zip Code:

Age:    Gender:  Female   Male

Home Phone Number: 

Work Phone Number:

Fax Number: 

E-mail Address:

Name of Business:

Business License Number:

Applicants must submit copies of documents verifying Alaska Native heritage. Acceptable documents include Native Corp. Shareholder I.D. Card, Tribal Enrollment Card or Certificate of Indian Blood.

Artist's Website:

Type of Art (choose one or more):

BIOGRAPHY
Tribal Name: 

Tribe:

Moiety:

Clan:

Home Community:

Father's Clan:

Mother's Clan:

Other Information:


High School: 

Date Graduated High School:

College:

Date Graduated College:   

Degree: Choose One: Ph.D. Masters Degree Bachelors Degree Associates Degree in

Art School (if applicable):

Dates Attended Art School:

Art Teacher Name:

Self Taught: Yes      No

Other Individuals you Studied with and when:

Years of Experience:

Brief Description of Artwork & Materials


Major Exhibitions & Publications


Honors & Awards


Major Collections
Museum:

Private:

Public:

WAIVER
(Enter your name and date in the boxes below to accept terms and statements)

1. I agree to hold Sealaska Heritage Institute (SHI), its employees, officers and volunteers harmless from any and all claims I might have for personal injury or damage to or loss of my property while participating in the SHI Native Artist Markets or Juried Art Show.
    
2. I have read and agree to abide by the SHI Native Artist Market Policy and Standards.
    
3. I understand that violation of these rules will result in immediate removal from the Market without refund of fees, if applicable.
    
4. I agree to comply with applicable federal, state and local laws and tax codes.
    
5. I agree to comply with Alaska Native traditional laws in respecting clan ownership.
    
6. I certify that I am a tribal member or a Native Shareholder or Descendant of an Alaska Native corporation.
    
7. I agree that SHI may withhold the agreed upon commission percentage of the sale price of each art object sold on AlaskaNativeArtists.com.
    
8. I certify that I am the original artist of all work to be sold or displayed on AlaskaNativeArtists.com.
    
9. I authorize the use of my name, biography and address for educational, promotional or cultural purposes or public requests for names of artists.

I, , agree to the above terms and statements.

Date:

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