Application for City of Stone Mountain Arts Incubator
Artist Microenterprise Program
Please Note: All applications should be mailed to ART Station, Inc., PO Box 1998, Stone Mountain, GA 30086. There is a rolling application deadline. Questions regarding this application should be directed to info@artstation.org or call 770-469-1105.
Artist Name:__________________________________________________
Address:_____________________________________________________
City:___________________________________State:_____ Zip:________
Phone:_______________________ Cell:___________________________
Note: A background check will be conducted on all artists prior to being considered as a participant in this program.
Education: List all art educational experience including college degrees, college courses, and special workshops with renowned artists, etc.
What are your goals as an artist?
All artists selected must have their studio/gallery open to the public Wednesday – Saturday from 11:00 a.m. to 7:00 p.m. ART Station & the City of Stone Mountain is host to many special events throughout the year. Are you committed to this requirement and be willing to be open for extended hours for these special events and why?
All artists selected must attend two monthly workshops. Are you committed to attending these workshops?
Do you have any particular space or technical requirements in order to create and sell your art works?
Please list any professional affiliations and memberships.
Please attach the following items with your application:
___ Current art resume.
___ Minimum of 10 images of work created in the last 2 years. The following formats will be accepted:
Jpegs – submitted on a CD or emailed to stonemountainartsincubator@gmail.com
DVD – Submit either a playable DVD with separate chapters for each video or data DVD
Printed images – No larger than 8 ½ by 11 inches
Website – If submitting your work samples via a website, please include a list of particular pages or images on that website that you want reviewed.
___ Image List: Include a sheet with the following information for each work sample submitted - your name, title of work, title of series, price, medium, dimensions, date, and other brief information you feel is necessary.
___ Artist Statement: Tell us about your work.
___ Bio: Tell us about you.
___Copies of reviews, show cards, catalogs, or other supporting materials if available.
___1 Personal reference & 1 professional reference.
___ Income verification i.e. most recent tax return.
___ Provide a listing of art works sold in the past two years.
*** DO NOT SEND ORIGINAL ART WORKS FOR THIS APPLICATION. ***
By submitting my application for this program I agree to the following (Initial each statement below and sign the application.):
___ I will participate actively in the workshops provided by this program.
___ I will pay monthly gallery/studio space rent and insurance.
___ I will pay 30% commission of the sale of my art works to the Microenterprise Program.
___ I will open my studio/gallery to the public Wednesday – Saturday from 11:00 a.m. to 7:00 pm. And as needed for special events.
___ I will provide all necessary supplies and equipment needed to create and sell my art work to the public.
___ I will provide my personal supplies, equipment & furniture while participating in this program.
___ I will make no suit of any kind and will hold harmless the City of Stone Mountain and ART Station, Inc. while I am a participant in this program.
Income Verification Form (SMArt)-A
Microenterprise Owner’s or Prospective Entrepreneur’s Name: _____________________________________
DUNS # (if new or existing business) ____________________________________
Address:____________________________________________________________________________________
1. The Business received assisted: Developing, New, Existing Business;
2. Of the Existing Businesses assisted: Expanding, Relocating Business (if applicable) .
3. Number of Employee(s) (if applicable) : _________; Date of Incorporated: ______________
4. Owner(s) of Micro-Enterprise(s) _____; Person(s) of Developing Micro-enterprise(s):______
|
|
1 Person |
2 Person |
3 Person |
4 Person |
5 Person |
6 Person |
7 Person |
8 Person |
|
Very Low-Income |
$ 15,050 |
$ 17,250 |
$ 19,400 |
$21,550 |
$ 23,300 |
$ 25,000 |
$ 26,750 |
$ 28,450 |
|
Low-Income |
$ 25,150 |
$ 28,750 |
$ 32,350 |
$ 35,900 |
$ 38,800 |
$ 41,650 |
$ 44,550 |
$ 47,400 |
|
Moderate Income |
$ 40,250 |
$ 46,000 |
$ 51,750 |
$ 57,450 |
$ 62,050 |
$ 66,650 |
$ 71,250 |
$ 75,850 |
NOTE: Should family income exceed the limits above, check here ________
I certify that the above information is true to the best of my knowledge. I understand that this information is subject to verification by the U.S. Department of Housing and Urban Development, the DeKalb County Government, or their designee.
________________________________ __________ __________________________
Owner / Applicant Signature Date Witness (DMI staff)
Note 1: If the family income of the owner(s) of the microenterprise exceeds the income limits above, it will not be eligible for the SMart assistance, unless the enterprise is able to create job(s) and hire person(s) that are within the income limits above. Please use CDBG Job Creation/Retention Requirements - Wage Certification Form
Note 2: A microenterprise is defined as a commercial enterprise that has five or fewer employees, one or more of whom owns the enterprise. A “person developing a microenterprise” refers to a person who has expressed an interest and who is, or after an initial screening process is expected to be, actively working toward developing a business that will be a microenterprise at the time it is formed.
Signature of Artist:_______________________________________________________
Date: _________________________________
Witness: ________________________________________________________________