Clone of Artist in Residence - Application Form

Artist in Residence - Registration Form

Fill out this form correctly and ensure you submit a project description for your stay in Rome. You can answer the questions and write your description in English, Danish, Norwegian or Swedish.
Personal information
Name*

First NameLast Name
Artist Name:
Address:*
Zip code:*
City:*
Country:*
Mobile Phone:*
E-mail:*
Date of birth*

MonthDayYear
Date
Website:
In which artistic field do you situate practice?:*

ArchitectureVisual artPhotographyCinemaMultimediaLiteratureMusicDesignPerforming artsDanceCeramicsCraftsOther
Other:
Which Nordic country/independent region are you connected to?*
Have you been a residence at Circolo Scandinavo before?*

YesNo
If yes, please specify when:
Project description. Please describe the reasons why you want to work in Rome and the plan for your stay!
Summary Project Description (max 100 words):*

0/100
If you apply together with another or other applicant(s) with the same project, please write the name of your co-applicant(s) here. (You still need to fill in one application for each person but with the same project description.)
Name of co-applicant
Complete Project description. Name your document: Firstname_Lastname_Project (max 3 pages)*

Cancelof
Portfolio/CV. Name your document Firstname_Lastname_Portfolio_CV:*

Cancelof
How many months would you prefer to stay?*

2 months3 monthsOther
If you prefer 1 month stay, please specify the reason below:
If you have any preferred periods for your stay, please specify below your first and second choice. (For example, May-Jul, Jul-Oct)
1st choice
2nd choice
Do you have a full-time work grant for the residency period you are applying for? Grants that are given without a specific project or necessity of a specific production are considered work grants.*

Yes.No, and I will not apply for a work grant.I have applied but I have not received a confirmation yet.I am going to apply for grants.
Please specify which national fund or private foundation from which you have received a work grant, or to which you are applying.
Do you plan to apply for a travel grant?*

Yes.No
If yes, please specify which travel grant you are applying for.
Circolo Scandinavo's residence have shared kitchens and shared common spaces. Some rooms have a private bathroom and some other's have a shared bathroom together with one other person. Most of the rooms have two single beds. It is not possible to choose a specific room. However, below you can specify if you have any specific needs.
If you have a room with two single beds, you are allowed to host a guest for an additional price. Do you already know now if someone will come and visit for more than a week? NOTE! that Circolo cannot host children under 14 years old!
If you have a special request for a private bathroom please specify the reason below. NOTE! that the fee is higher for private bathrooms.

0/150
Do you have any other special needs? Please specify

0/150
Any other comments?

0/150
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Artist in Residence - Registration Form

Project description. Please describe the reasons why you want to work in Rome and the plan for your stay!

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