Incoming Resident Information
Name
*
First Name
Last Name
What are your pronouns?
Which residency session will you be attending?
*
Please select
Sep 8 - Sep 26 (25-09)
Oct 6 - Oct 31 (25-10)
Nov 3 - Nov 21 (25-11)
Dec 1 - Dec 19 (25-12)
Jan 5 - Jan 16 (26-01A)
Jan 19 - Feb 6 (26-01B)
Feb 9 - Feb 27 (26-02)
Mar 2 - Mar 20 (26-03A)
Mar 23 - Apr 3 (26-03B)
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province / Country
Postal / Zip Code
Website Address
Social Media Platform & Handle
Emergency Contact Information
Emergency Contact Name
*
First Name and Last Name
Emergency Contact Relationship
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Emergency Contact Email Address
*
example@example.com
Emergency Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Studio Information
Are you a visual artist or a writer?
*
Please select
Visual Artist
Writer
Please select the medium for which you have been accepted:
Please select
Painting
Sculpture
Printmaking
Photography
What materials/equipment you plan to use at VSC?
For example: metal/welding, wood, ceramics/kiln use, plaster/clay, stone carving, oil, acrylic, encaustic, digital, video, etc.
What is the approximate size of your work?
in/ft; cm/m; installation; etc.
Anything else we need to know about your work/studio needs?
Accessibility Accommodation Information
For information about accessibility at VSC please view our Accessibility Guide at https://vermontstudiocenter.org/accessibility. If your questions are not addressed in the guide, please contact liz.kauffman@vermontstudiocenter.org or call (802) 635-2727.
Do you have any accessibility requirements?
*
No
Yes
Please let us know of any accessibility accommodations you require in order to fully participate.
If you require accessibility accommodations in order to fully participate, please check yes. We will contact you to discuss your specific needs.
Yes, I do require accessibility accommodations.
Do you plan on bringing an ADA-qualified service dog to the residency? As defined by by Title II and Title III of the ADA, a service animal means any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability.
Yes, I am bringing an ADA-qualified service dog who is required because of a disability.
What work or task has the dog been trained to perform?
Dietary Information
If you have questions or concerns, please contact our Chef, Kristina Neas, kristina.neas@vermontstudiocenter.org.
Please note any dietary needs:
*
Vegan
Vegetarian
Pescatarian
Dairy Free
Gluten Free
I do not have any dietary needs
Other
Please note any dietary needs (write-in)
Travel Information
Arrival check-in in the main office takes place between 1:00 pm - 4:00 pm on the first Monday of the session.
Arrival Date
*
-
Month
-
Day
Year
Date Picker Icon
Arriving by
*
Airplane to BTV
Train to WAB (Waterbury/Stowe Station) or ESX (Essex Junction Station)
Bus to Burlington Bus Station
Car
Flight arrival time
*
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Hour
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Minutes
AM
PM
AM/PM Option
Train arrivals: There is only one train arrival each day. Please schedule your train arrival for Sunday evening only. You will need to find local accommodations for Sunday night. VSC cannot provide check-in before 1 PM on Monday.
*
I understand and will arrange my own accommodations for Sunday night
Estimated arrival time at VSC (Office check-in takes place between 1:00 p.m. - 4:00 p.m. on the first Monday of the session)
*
1
2
3
4
5
6
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:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Parking
Please fill out the following information if you plan to park a car at VSC during your residency.
Car Make/Model/Year/Color
License Plate State and Number
Backend tech
Used for importing forms into Salesforce.
Residency Session
This is calculated automatically based on the Which Session? dropdown list
Studio Notes
Type of transport arrival
Type of transport
Plane
Train
Bus
Auto
Community Contribution Requests
Dietary Requests
Resident Full Name
Arrival time text
Flight info
Submit
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