Main and Hallway Gallery Exhibition Proposal Submission Form Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Country (###) ### #### Website http:// If not listed above, please specify in your own words: Which gallery space are you applying for? * Main Gallery (Space A) Hallway Gallery (Space B) A & B Gallery Spaces VIVA Alliance welcomes submissions from under-represented artists of all backgrounds, and is committed to ensuring equitable access to our submissions process. Please help us track our progress in this area by selecting any of the following that apply to you: LGBTQIA2S+ POC, BIPOC Indigenous, First Nations, Inuit, Métis Refugee Immigrant Racialized Settler Non-binary Person with Disability Deaf, Hard of Hearing Blind, Low Vision Neurodivergent Age 20 - 29 Age 30 - 39 Age 40 - 49 Age 50 - 59 Age 60 - 69 Age 70+ How did you hear about us? (Please select all that apply.) Website Instagram Facebook Word of Mouth VIVA Alliance Newsletter Other If you selected other, please describe: Thank you!
