Juried Membership Application – Mobile The Alberta Society of Artists 2023 Juried Membership Application 2023 Juried Membership Application Form Step 1 of 15 6% Name of Applicant* First Last Please print your full name in the field above, This is the name that will appear on your membership card.Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Please fill out your address.Phone*Please provide your current phone number. Please format as follows (403)265-0012What type of phone number have you provided?* Mobile/Cell Home/Landline Business/Office Email* Please provide an email for us to contact you.Website Enter your website (optional)How did you hear about us?* Please complete the following information for your membership application.Juried Membership Jurying Fee*By selecting the box below, the artist agrees to pay a $40.00 jurying fee required to review the portfolio submission. If an applicant is successful, they will be required to pay an additional $80.00 towards their annual dues to retain Juried ASA Member status (after the first year they are $120.00 per year). Please Note: All jury decisions are final. Jurors are not required to provide any feedback. I agree Education* University Art College Other If applicable, please indicate your major and date completed. How many years have you been a professional artist?* Educational Designations / Membership by adjudication only Only list Arts related designations: BFA, MFA, PhD, SCA, CSPWC, RCA, etc. Please Note: professional designations in other fields will not be applied or considered.Have you exhibited with the ASA? If so, how many times and in which exhibitions?*Are you currently an ASA Associate or Student Member?*YesNoWhich year did you join? Artist CV*Accepted file types: pdf, doc, docx, Max. file size: 5 MB.Artist Curriculum Vitae (no more than 2 pages).Artist Statement*Artist’s Statement (500 words or less)Statement of Intent*Statement of Intent (500 words or less), explaining why you would like to become a member of the ASA and what you can contribute to the ASA if selected a Juried Member.Current medium (Describe)*Please describe your current primary medium you may list more than one. Instructions for Image SubmissionSubmit images of ten (10) original works completed within the last two years (samples and sketches are not acceptable). 2D works may have one (1) images showing the complete work and the option to include up to one (1) additional detail image per work. 3D works may include up to two (2) images showing detail/perspective.Are you submitting images of any 3D works?*YesNoIf you are submitting any 3D works?Are you submitting a video to showcase work that cannot be captured in still photography?*YesNoIf you are submitting a video (max duration of 5 min, formatted as an MP4), please select yes, and email your video to coordinator@albertasocietyofartists.com withing 24 hours of submission and prior to the close of submissions. Work 1 – Information* Please provide the following information in the following order; Image Number(s), Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 1 – Image 1*Accepted file types: jpg, jpeg, png, , Max. file size: 5 MB.Work 1 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 1 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 2 – Information* Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 2 – Image 1*Accepted file types: jpg, jpeg, png, , Max. file size: 5 MB.Work 2 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 2 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 3 – Information* Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 3 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 3 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 3 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 4 – Information* Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 4 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 4 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 4 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 5 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 5 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 5 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 5 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 6 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 6 – Image 1*Accepted file types: jpg, jpeg, png, , Max. file size: 5 MB.Work 6 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 6 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 7 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 7 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 7 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 7 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 8 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 8 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 8 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 8 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 9 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 9 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 9 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 9 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Work 10 – Information Please provide the following information in the following order; Image Number, Image Title, Year of Completion, Meidum, Height x Width x Depth in inches. Ex. Image 1, This is An Example Title, 2023, il Paint on Canvas, 24 in x 12 in x 1 inWork 10 – Image 1*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 10 – Image 2 – DetailAccepted file types: jpg, jpeg, png, Max. file size: 5 MB.Work 10 – Image 3 – 3D WorkAccepted file types: jpg, jpeg, png, Max. file size: 5 MB. Alberta Society of Artists Volunteer ProfileOur society is only possible due to the work of our Volunteers, as a member you are expected to volunteer annually in some capacity.Contact Preferences* Email Phone Both What is the best way to contact you regarding volunteer opportunities?Volunteer Placement Preferences* Exhibition Support Promotions Support Casino Committee Occasional Tasks Misc. ASA Educational Events Board Positions Graphic Design Distribution of Promo Receiving/storing artwork for exhibits Transportation of artwork Contacting media outlets / PR No Preference Please indicate which volunteer positions you prefer. Check all that apply.Interests and SkillsFor us to further understand your most suitable placement, please describe your relevant skills and interests if you did not find them listed above.Volunteer availability* 5 hours 10 – 15 Hours 20 – 35 Hours 35+ Hours Please select below the number of hours you are able to contribute on an annual basis.Emergency Contact* Please provide the name of your emergency contact.Emergency Phone Number*Please provide the phone number of your emergency contact.I Volunteer! I Agree The ASA is volunteer‐run organization. It depends on the time and effort of its members to ensure the strength and reach of its programs and initiatives. In order to process this application, you must check the box to acknowledge that you are committed to volunteering with the ASA in some capacity this year. You agree to maintain any confidential information about The Alberta Society of Artists that has been disclosed and understand that the materials and tools provided by the ASA are and remain the property of the ASA. You also agree to notify the person you report to if you will be late for a shift or if you must cancel your volunteer opportunity. Please check the box below to agree to the above conditions and to confirm that the personal information provided on this form is correct.Information Release I Agree I give consent for the Alberta Society of Artists (ASA) to collect, use and/or disclose my personal information for all purposes relating to ASA business, including, but not limited to, display on the ASA public web site and/or within a printed membership directory, which may be distributed to all Full Members.Payment* I understand Please note that payment takes place off-site. When you check the box to confirm that you understand you will be able to submit your application, you will be redirected to PAYPAL. To pay by credit card using Squareup please phone the office during open hours: 403-265-0012. To pay by cheque please phone the office to advise and send the cheque to #222 1235-26 Ave SE, Calgary, AB T2G 1R7. Payment must be received prior to the submission deadline.NameThis field is for validation purposes and should be left unchanged. Δ