Artist in Residence application form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Application type
Individual application
Group application
Artist bio/statement:
*
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Current CV:
*
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Samples of recent work:
*
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Purpose and description of the work intended to be undertaken during the residency. Please specify the range of facilities required (ie. kilns, grounds, galleries, etc):
*
0/500
Proposed timeframe for residency:
*
Other parties involved (funding bodies, assistants, partners etc):
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Should be Empty: