Exhibit Development Request

Exhibit Development Request

Contact Information

Requested By*

Responsible Official (Borrower)*

Contact Institution*

Contact Address*

Contact Phone*

Phone

Contact Email*

Requested Exhibit Name*

Requested Installation Period*

Note:Maximum of 6 months.

Please provide date range in the following format: "MM/DD/YYYY to MM/DD/YYYY"

Will host require help with installation?*

Yes

Installation Space Size*

Please provide space size in the following format: __' x __'

Additional Information about space size*

Describe security and environmental controls*

Please be as specific as possible

How will access to the exhibit be managed?*

Average temperature and relative humidity in installation space (if available)*

Can the host institution insure the exhibit during the loan?*

Yes

If yes, identify with whom and describe the scope and type of coverage.*

Please provide any additional information about installation space, environment, and security.*

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