Application Form

Application Form

Please fill in the form below and submit to: airstudiopaducah@gmail.com along with the other items listed at the top of the Apply page. If you prefer to send your application via regular mail, a downloadable pdf is coming soon.
Full Name *

Prefix First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Website
Discipline
References within Discipline (3)
Please include their name, your relationship, their email address & phone number
First Choice Date of Arrival

Month Day Year
Date
Length of Stay (number of weeks)
Second Choice Date of Arrival

Month Day Year
Date
Length of Stay (number of weeks)
Third Choice Date of Arrival

Month Day Year
Date
Length of Stay (number of weeks)
If the above dates are not available, are you interested in other dates?
Resume (2 page maximum)

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Cancel of
Proposed Plan for Residency (1 page maximum)

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Cancel of
Artist’s Statement (1 page maximum)

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Cancel of
How is this Residency Important to Your Work?
How did you hear about us?
Anything you'd like to add?
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