Online Form - Public Art on Bus Shelters Use this form to submit your interest in this Public Art Opportunity. Artist Details Artist Name:* Phone (mobile preferred):* Residential Address:* Email Address:* Website (if applicable): Are you a resident of the Midwest region?* YesNo Age Group (*must be 16 years and above)* Under 18*18 years and over *If under 18: I provide consent for my child to apply for this opportunity. Parent Name: Artwork Details Artwork Description (Provide a brief description of the proposed artwork):* Predominant Medium (i.e. drawing, painting, digital media) *Photographs are not eligible Upload Digital Image of Artwork:* Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional Image: Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Additional Image: Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Supporting Documents Please upload your CV:* Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Terms and Conditions Have you read the Artist Brief?* Yes Type the code from the image: Do not fill this textbox.