School of Languages, Cultures, and RaceAFSC form WSU students, staff, & faculty AFSC form WSU students, staff, & faculty Art for Social Change Submission Art for Social Change Submission Name* First Last Local Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code WSU Email* Phone*Student Type* Undergraduate Graduate Staff Faculty Class Standing* Major* Campus* Submission Category* Remembering MLK Social Justice in Action Community Building at WSU Submission Title* Submission Type* Poster Painting Drawing Performance Sculpture or other 3-D piece Digital media Original music composition Short film Creative writing Poetry Graphic novel Mixed media/multi-media art Brief statement describing the intent of the submission**200 word maximum.How are you submitting your creative works?* By mail In person Upload a digital file Do you want your submission returned to you?* Yes No *Students are responsible for picking up their submissions after the event.Release of Liability* By checking this box, I understand that Washington State University and the School of Langauges, Cultures, and Race is not responsible for reimbursement or replacement of lost, damaged, or stolen artwork. I also agree that Washington State University will not indemnify or insure my artwork for damages to the work itself or for any loss that may result from the installation of the artwork. Statement of Originality* By checking this box and submitting this form, I agree to the Statment of Originality above. I hereby declare that this submission is my own original work and to the best of my knowledge it contains no materials previously published or written by another artists, person, published source, or reference not attributable to the artist. I hereby attest to my submission is compliant with the submission criteria and guidelines. *I hereby give the WSU School of Languages, Cultures, and Race permission and the right to reproduce and use my artwork in future Art for Social Change Competition promotional material. File Drop files here or Select files Max. file size: 146 MB. Untitled First Choice Second Choice Third Choice NameThis field is for validation purposes and should be left unchanged. Δ