Artist Space Room Rental Application Form

Artist Space Room Rental Application Form
This is for 24/7 access to an artist space in West Jefferson, located in the Burley Market. These spaces are inside the High Country Art Centre!

Each space is 9 x 10 with a locked door. You will have access to a bathroom, private entrance and a utility sink at all times. All utilities, internet, and trash are included.

During business hours there will be an open art gallery, providing you will gallery representation, art classrooms and more.

The price is $300 a month with a $150 deposit. It also includes a 20% gallery commission. The rental is a 1 year minimum.

There will be a formal interview:

You will be required to bring in at least 5 pieces of work to the Interview. There will be a panel making the decisions and a background check is required.
Applicant Name

First NameLast Name
Date of birth

MonthDayYear
Date
Email
example@example.com
Confirm Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you smoke? (Smoking in the building will not be allowed)

YesNo
Are you a Convicted Felon?

YesNo
Have you ever been Evicted?

YesNo
What type of art do you create?
Will you have frequent deliveries for your artwork? If so explain what that would be.
Provide a link to your work. Example: social media, website or other....

Credit Check
Allow a soft pull of your credit? (Does not affect your credit score)

YesNo
Provide your SS# for the credit report. (This will be protected and not seen by anyone other than management for this report.)