Art Placement Form

There are a number of sites on campus, outside the Art Department, that have been approved for the display of student artwork. These include locations in the Library, Turcotte Hall, 1st Choice Savings Centre PE Building, Anderson Hall, the UHall Atrium, and the Devonian Walkway. A complete list can be found in the A rtwork Placement policy.

You must first have the approval of a faculty member, and must complete and submit the Artwork Placement form for approval by the Artwork Placement Committee before you may begin installation. This form should be submitted at least one week before your intended installation.

Artist/Individual/Organization Information

Foip Statement

Foip Statment: The personal information requested on this form is collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act of Alberta. It will be used for the purpose of administering the University of Lethbridge’s Artwork Placement Policy. Questions about this collection can be directed to the University’s FOIP Coordinator at 4401 University Drive, Lethbridge, AB T1K 3M4; foip@uleth.ca; 403-332-4620.]

Artist Name:

Email Address:

Phone Number:

Format: (XXX)-XXX-XXXX

Application Date:

Affiliate Organization (if applicable):

Are you:

University of Lethbridge Student

Course Number:

Supervising Instructor's Name:

Supervising Instructor's Email Address:

Notice

Please consult with your supervising instructor prior to completing this application, as they will be responsible for approving your application in addition to the Artwork Placement Committee.

Art Placement Information

Desired Location:

Other Location - Please include details of project:

Please include specific location details in your Description of project:

Community Member Desired Location:

Please include specific location details in your Description of project:

Display/Installation Date:

Removal Date:

Description of Project:

* Include materials, dimensions, weight, stability, fastening requirements, etc.

Hazards associated with installation/display:

See the Campus Safety - Hazard Management Website for further information, and to complete a hazard assessment.

Photo of the work:

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf.

Additional Documentation:

e.g. Hazard Assessment
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, ppt, pptx, xls, xlsx.

Insurance & WCB Documents 1:

* Not required for course-related placements, or faculty placements if related to FFA promotion or research.
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, pdf, doc, docx, ppt, pptx, xls, xlsx.

Insurance & WCB Documents 2:

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, ppt, pptx, xls, xlsx.

Art Placement Information

By submitting this application, you have read and understand the Artwork Placement Policy and agree to respect the art placement guidelines. The University will not be held responsible for artwork that is damaged or stolen. Copies of this request will be sent to the Artwork Placement Committee (or their designates) for review and approval.

Copies of this request will be sent to the following departments for review and approval:

Department -----------------------------	Position Responsible ------------------------------
Faculty of Fine Arts	Chair, Department of Art
Faculty of Fine Arts	Associate Dean of Fine Arts
Vice-President (Academic)	Director, Art Gallery
Department of Art	Faculty of Fine Arts – Facilities Manager
Building Maintenance	Manager
Campus Safety	Manager, Safety
Campus Safety	Manager, Insurance & Risk
Security Services	Emergency Preparedness Coordinator
Department – Faculty of Fine Arts	Operations Manager

Get Involved

Art Placement Form

Students

Information for

Campus