Campus Art Loan Application

APPLICANT/BORROWER INFORMATION
Please fill out the following information as completely as possible.

* indicates required field

GENERAL INFORMATION:

Name:*

Title:*

Department:*

Campus Address:*

Phone Number:*

Email:*

Address of building where artwork will be displayed:*

Brief description of space where the artwork will be displayed:*

Is the space locked when not in use:*

Yes
No

Will the artwork be exposed to sunlight:*

Yes
No

Describe any features of the room that could potentially emit moisture or heat, and their proximity to where the artwork will be hung:*

FEES

Penn’s Campus Art Loan Program requires the borrower’s department to pay two fees: (1) Art Handling (2) Curatorial Processing. The department’s Business Administrator will be invoiced for these fees.

Business Administrator's Name:*

Business Administrator's Campus Address:*

Business Administrator's Phone Number:*

Email Address:*

ARTWORK REQUEST

Please locate the following information from the Art for Loan portion of the Penn Art Collection website. All Campus Art Loans are subject to the approval of the University Curator.

Artwork Request #1:

#1, Accession Number:*

#1, Artist:*

#1, Artwork Title:*

Artwork Request #2:

#2, Accession Number:*

#2, Artist:*

#2, Artwork Title:*

Additional Comments: