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Cupertino Distinguished Artist Award Nomination Form



ARTIST INFORMATION
 Name  
 Address  
 Telephone  
 Artist is best described as (check one):  

Education/Training  

Achievements/Awards
Nominated artists should reside and/or practice their art in the Cupertino area. Please provide information as to how this artist meets these requirements.



In addition to the Nomination Form, the selection committee encourages the submission of samples of artwork whenever possible, as well as copies of resumes, awards, or press clippings. Samples can be in the form of photocopies, photographs, slides, audiotapes, videotapes, CDs, etc. Please do not submit original works of art. If you would like the samples returned to you, please label them with your name, phone number, and mailing address. Submit the completed Nomination Form and artwork samples to the Cupertino City Clerk, 10300 Torre Avenue, Cupertino, California, prior to the deadline. For more information, contact City Clerk Kimberly Smith at (408) 777-3217 or email finearts@cupertino.org.

NOMINATION SUBMITTED BY:
 Name  
 Address  
 Telephone  



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