Argentum 2016 Submission Form Deadline: March 11, 2016 by 5 p.m. A special award will be given for the entry that best fits the 2016 theme: “Design for the Human Spirit!” Form may be filled out, saved to your computer, and then uploaded as an attachment in an email to argentum@gbcnv.edu. You may also print the document for submission. Submit works of art, photography, or creative writing and form at the Academic Success Center, located in the DCIT Building, 1050 Chilton Circle, Room 114 on the Elko Great Basin College campus. I. Artist/Author Information - Under 18 must have parent/guardian signature at end of form Name: Mailing Address: (First) City: (Middle) (Last) State: Zip Code: Contact Phone Number: E-mail: Artist Information (check all that apply): Served in Armed Forces? Branch: (select) (If writing in, please print legibly) GBC Student GBC Alumni (year graduated) GBC Faculty GBC Staff Community Member within Great Basin College Service Area - GBC Location: (select) High School Student __________________________________ (School, Location) For current students: Provide the name the art/writing class/classes you are taking: II. Artist Medium Categories Accepted for Argentum FOR MORE INFORMATION ON YOUR CATEGORY REGARDING SUBMISSION RULES AND JUDGING, PLEASE DOWNLOAD AND READ THE RULES & REGULATIONS AND RUBRICS FOUND ON THE ARGENTUM WEBISTE. Art * – This includes drawings, paintings, sculptures, ceramics, jewelry, fabric art, glasswork, graphic design, architectural design, or any other medium that can be photographed and printed for publication. Photography – Includes any image saved as a .jpg or .tiff file, no less than 300 dpi (or 1.40 MB file size) for publishing considerations. Argentum 2016 Submission Form Page 1 of 4 Creative Writing – Includes poetry, short story, and/or prose; Word limit: 750. Submit as an RTF or Word (rich text file (.rtf) or .doc or .docx file extension) for publishing considerations. * For those needing work photographed or any other assistance, please contact Toni Milano (argentum@gbcnv.edu) for further information. Please note: submissions in other formats than those stipulated above (such as PDF) cannot be used for publication. III: Entry Information (May submit up to three works) If any part of your submission was not your own creation or originated from a published or wellknown work, give details in “Other”. Work #1 Title: Computer File Name (use your last name as part of the file i.e. “Smith_img_012.jpg” or “Jones_sunset.rtf”): Medium (see list on previous page): Dimensions (visual work only) – provide information on file size and/or gallery display size: Other: Work #2 Title: Computer File Name (use your last name as part of the file i.e. “Smith_img_012.jpg” or “Jones_sunset.rtf”): Medium (see list on previous page): Dimensions (visual work only) – provide information on file size and/or gallery display size: Other: Work #3 Title: Argentum 2016 Submission Form Page 2 of 4 Computer File Name (use your last name as part of the file i.e. “Smith_img_012.jpg” or “Jones_sunset.rtf”): Medium (see list on previous page): Dimensions (visual work only) – provide information on file size and/or gallery display size: Other: Write a personal quote that summarizes your thoughts and feelings about the creative process in your work. Consider what has inspired you or how you view the importance of art or writing in your life. This quote may be included in Argentum if your work is selected. For further information on Argentum and past issues go to http://www.gbcnv.edu/argentum/ Contact Argentum for questions regarding submissions argentum@gbcnv.edu Toni Milano – 775-753-2149 Argentum 2016 Submission Form Page 3 of 4 IV: Release and Signature To submit your work/works formally, please read the terms and conditions below, then sign and date. (Note: Parent or guardian must sign for student under 18.) I permit the Arts and Cultural Enrichment Committee (ACE) at Great Basin College (GBC) to publish the work submitted by me in the Argentum publication or in promotional materials. I agree to the following: All work submitted by me is my original work and does not illegally infringe upon any other individual or entity. If any part of my submission is not my own, I have noted so on the submission form. All source material from other work(s) has been acknowledged within the body or text of work or in footnotes or credits. I indemnify and hold harmless Argentum and ACE from any intellectual property claims by any third party. If the work submitted by me is accepted, I am entitled to a copy of the edition in which my work appears. PERMISSION TO PHOTOGRAPH & FILM: By signing this release I agree to allow my likeness and recorded performance to become part of the permanent collections of the Great Basin College where they may be made available to the public for scholarly and educational purposes. I understand that the Board of Regents of the Nevada System of Higher Education and Great Basin College and all of their agents and employees may edit, distribute, reproduce, publish, present, display, and broadcast my contribution, or any portion thereof, in exhibits, all media, print, and on the Internet, as well as any successor technologies, whether now existing or hereafter developed. I agree that Great Basin College may use my name, voice, and photographic likeness in connection with these activities. I authorize the duplication, presentation, and broadcast of these materials for nonprofit, educational purposes. In doing so, I give my permission and perpetual, non-exclusive, worldwide license to Great Basin College. I understand that Great Basin College may assign, license, and sublicense these rights to other entities for scholarly and educational uses without further approval on my part. By giving my permission and this license to Great Basin College I do not give up any copyright, literary, or performance rights that I may hold, or the rights inherent in creative works such as songs, poems, and other compositions. I acknowledge that I have read and understood the rules and regulations provided on the Argentum website: Typed Name: Signature: _____________________________________________________________________ (If you submit electronically, your typed name serves as your signature) Parent/Guardian if under 18: _______________________________________________________ Date: Argentum 2016 Submission Form Page 4 of 4