Nereim Fine Arts Award Application Form Name* First Last Email* PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School* Grade* What is your primary field of interest?*Medium – Describe type of art, materials and dimensions.*Submit Artwork ElectronicallyMax. file size: 25 MB.Anything larger than 25 MB needs to be compressed into a zipped file.Please Note: You do not have to plan to attend college in the field of art or plan to attend an art institute to receive this award. However, this award is only available to high school seniors. Before you submit, please make sure you are very complete in your verbal description of your art in the “Medium” section of the application. Describe all techniques and artistic material used to create your artwork. If you have any questions, please contact Connie LaMarca-Frankel at 813-713-3077. You can also send your questions to info@heritagearts.org. ATTN Visual Arts Team in the Subject line.PhoneThis field is for validation purposes and should be left unchanged. Δ