Buttermaker's House Artist Residency Application Form
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.
How did you hear about this residency?
Residency Information
Preferred length of stay
*
7 days
14 days
28 days
Other
My preferred residency period (eg: July 14-July 16, 2023). Please ensure you select a date range a minimum of 30 days from the date of your application.
1st Choice
Use the booking calendar to select your preferred residency period. Please select each day of your stay and ensure you select a date range a minimum of 30 days from the date of your application.
*
2nd Choice
Cover Letter
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Introduce yourself and your creative practice (.doc/.pdf format)
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Proposal Statement
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A one-page statement that outlines what you hope to achieve during your residency (.doc/,pdf format)
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Curriculum Vitae
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A CV detailing your professional practice (.doc/.pdf format)
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Support Materials
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3-5 images or writings (.jpg/.doc/.pdf format)
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By checking this box, I acknowledge I have read and understand the residency program information and to the best of my knowledge the information I have supplied is true and accurate.
*
I agree
SGSIS is committed to follow any current COVID restrictions. By checking this box I agree to comply with any current restrictions or mandates that are in place.
*
I agree
Please verify that you are human
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