Nominee's Statement Form

NAME:

SCHOOL:

GRADE:

Directions: Creativity in writing is strongly recommended by the judges. The

statement should be typed under the headings provided. This page may be

re-typed but the headings should remain in the order given. No more than

300 words are to be used.

1. PURPOSE FOR MAKING ART

2. INFLUENCES

3. ARTISTIC EXPERIENCES (Limit information on art awards received to one account.)