Journey of the Mind through Visual Artistic Expression Entry Form

Journey of the Mind through Visual Artistic Expression
Entry Form

Thank you for your interest in submitting artwork for Journey of the Mind. Please complete the information requested below by January 15, 2025 @ 11:59 pm. If you have any questions, contact Mental Health Awareness of Michiana (MHAM) at (574) 393-8809, option 3 or info@mhamichiana.org.
Date

MonthDayYear
Date
Journey of the Mind Entry Form opens December 1st.
Artist Name*

First NameLast Name
Email*
example@example.com
Have you filled out the Interest Form?*

YesNo
Artist Alias
If you have an alternate name by which you'd like to be identified please provide it. Otherwise, your name as it is provided will be used on all materials.
Age*
As their parent/guardian, I am giving the minor listed above permission to submit artwork for consideration in the Journey of the Mind exhibit by providing my e-signature below. I understand that if the submitted artwork is accepted for inclusion in the exhibit, myself and the artist will be responsible for ensuring the artwork is prepared for display in a gallery. I understand we will also be responsible for delivering the artwork to the gallery and picking up the artwork at the close of the exhibit.

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Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number
Please enter a valid phone number.
How Did You Hear About Us?

Website SearchOur NewsletterFriend/ FamilySocial MediaFlyerOtherThrough Your School
How many pieces are you entering in the exhibit?

123
Title of Piece 1*
Piece 1 Medium (I.E. Acrylic on Canvas)
Piece 1 Dimensions (Width x Height x Depth in feet or inches)
Description of Piece 1 (composition, meaning, etc.)
Upload Image #1 (filename: LastNameFirstName_ImageTitle)*

File Types: jpeg, jpg, png (minimum: 96dpi, 1200 on the longest side).
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**Please remember that submitted photos will be used in the jurying process and the printed exhibit catalog. When taking photos of your artwork(s), take extra care to avoid glare, distracting backgrounds behind the artwork, and tilting or angling your art (unless it is intended to tilt or sit at an angle when displayed).

You can review tips for photographing artwork in this video.
Title of Piece 2
Piece 2 Medium
Piece 2 Dimensions (Width x Height x Depth in inches)
Description of Piece 2 (composition, meaning, etc.)
Upload Image #2 (filename: LastNameFirstName_ImageTitle) *

File Types: jpeg, jpg (minimum: 96dpi, 1200 on the longest side)
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Title of Piece 3
Piece 3 Medium
Piece 3 Dimensions (Width x Height x Depth in inches)
Description of Piece 3 (composition, meaning, etc.)
Upload Image #3 (filename: LastNameFirstName_ImageTitle) *

File Types: jpeg, jpg (minimum: 96dpi, 1200 on the longest side)
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By initialing below, I agree that, if accepted, my artwork(s) will remain on display for the duration of the exhibit.*
What has your mental health journey looked like? How has art impacted it? *
Would you be willing to share your personal story at the Art of Hope Opening Ceremony?*

YesNo
By initialing below, I agree to not hold the venue/curation team or Mental Health Awareness of Michiana responsible for loss or damage of works during transit to or from the exhibit site.*
By initialing below, I give Mental Health Awareness of Michiana the right to reproduce images of my submitted artwork and personal narratives for the purposes of press releases, website inclusion, marketing, and promotion of the event and organization, before/during/after the event.*
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