Buttermaker's House Artist Residency Application Form

Buttermaker's House Artist Residency Application Form
Information on Residency (Website):
historicmarkerville.com/buttermaker-house.html

Information on INLNA Award (Website):
historicmarkerville.com/residency-award.html
Personal Information
Name*

First NameLast Name
Pronouns
(Optional) This helps us address you respectfully.
Address*

Street Address

Street Address Line 2

CityState / 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
*SELECT* your preferred length of stay (default is 1 Week)*

1 Week2 Weeks3 Weeks4 WeeksOther
*PICK* your days in the booking calendar for 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.
Generally check-in time is 2pm on your first day, and check-out time is noon on your last day. Your one-week stay gives you 7 nights at the Buttermaker's House.

The following days in 2025 are still available, although some may be pending and are not guaranteed. Please provide us with second- and third-choice dates for your stay when possible. The date of your stay should be at least 30 days from the date of your application.

Available Days: Nov 15-30 | Dec 1-31
Your first choice date range for your stay:*
Example: August 2-8, 2025
Your second choice date range for your stay:*
Example: August 13-19, 2025
Your Third choice date range for your stay: (optional)
Example: July 26 to Aug 1, 2025
Comments on your date choice: (optional)
Cover Letter

Introduce yourself and your creative practice (.doc/.pdf format)
Cancelof
Cover Letter / Proposal Statement

Introduce yourself with a one-page statement that outlines what you hope to achieve during your residency (.doc/,pdf format)
Cancelof
Curriculum Vitae

A CV detailing your professional practice (.doc/.pdf format)
Cancelof
Support Materials

3-5 images or writings (.jpg/.doc/.pdf format)
Cancelof
I am also applying for the INLNA Residency Award

YES (when selected, will reveal an additional area to upload your 150 words or less on how the artist or project is connected to Iceland)
INLNA Residency Award Project Description

Attach 150 words or less on the connection the artist or the project has to Iceland (.doc/.pdf format)
Cancelof
Please indicate your consent to your name/photo and award recognition to be shared publicly on social media by checking the appropriate answer:*

Yes, I give permissionNo, I do not give permission
By selecting "I agree", you acknowledge you have read and understand the residency program information and to the best of your knowledge the information you 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*
Should be Empty:

Buttermaker's House Artist Residency Application Form

Personal Information

Residency Information