Healey Library’s Grossmann Gallery Application Form

Your Name *

Your Connection to UMass Boston * Your Connection to UMass Boston

Phone Number *

Your Email Address *

Sponsoring UMass Boston Department or Program *

Contact Person from Sponsoring Department or Program (please include contact information) *

Title of Proposed Exhibit/Display *

Description of Proposed Exhibit/Display *

When would you like to schedule the run of this exhibit/display? Please be as specific as possible. *

Proposed Exhibit Mounting Date *

Proposed Exhibit Removal Date *

Which of the Grossmann Gallery facilities do you propose to use? (See gallery description and policies by visiting blogs.umb.edu/archives/about/grossmann-gallery/)

All 4 gallery walls (43’ x 9’ each)

Fewer than 4 gallery walls (43' x 9' each)

Vertical gallery display cases (2 cases, 60” x 23.5” x 47” each)

Vertical gallery display cases (2 cases, 77” x 18” x 48” each)

Flat gallery display cases (4 cases, 60” x 47” x 7” each)

I don't know

Are you planning to host a public event in the Grossman Gallery for this exhibit/display?

Yes

Is yes, what is the proposed date for this event?Is yes, what is the proposed date for this event?

If yes, please describe the event.If yes, please describe the event.

Any other questions or comments about the Grossmann Gallery or your proposed exhibit/display?

Please confirm that you have read and agree to comply with the Healey Library’s Grossmann Gallery Rules of Use, which is available by visiting blogs.umb.edu/archives/about/grossmann-gallery *

Yes, I have read and agree to comply with the Healey Library's Grossmann Gallery Rules of Use

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