This form must be completed fully and legibly to ensure your consideration in the peer assessment committee process.
(Your request will be taken into consideration when the exhibition schedule is produced.)
Note: Please name each digital file to (Firstname_Lastname_Title_Year) most recent year first (#1)
Personal information is collected under the authority of Section 10 of the Municipal Act, 2001, S.O. 2001, c.25. Personal information will be used by the City for the purposes of administration of the program (Community Galleries). Questions about this collection and use of your personal information may be directed to Arts Centre Programmer at 613-596-5783, 35 Stafford Rd, Ottawa ON K2H 8V8, email@example.com.