姓First Name

名Family Name

性别Gender

出生年月日Date of birth

地址及邮编

Address and postcode

电话Telephone

手机Mobile

邮箱Email

网站Website

紧急联系人(至少2人家人/朋友)

Emergency Contact(at least 2 people, eg, family or friends)

驻留时间：

可选驻留周期

2026年6月–8月

2026年7月–9月

注：单次驻留天数不少于15-30天，最长不超过50天。

Residency Duration：

Preferred residency periods

June–August 2026

July–September 2026

Note: Each residency must be a minimum of 20 days and a maximum of 50 days.

您是如何知道这个艺术项目？

How did you find out about this programme?

☐  邮件PCCA Website/Blog/Mailing

☐  微信wechat /ins /Facebook /小红书red note/art station /Advertisement/ other Media

☐  口述Word of Mouth

☐  其他Others（）

其他驻留经验, 参展经历，获奖经历 Other residencies attended，exhibition experience, awards or honors achievements

主要工作媒介，工作类型Primary medium of work, genre of practice

所需材料，辅助，设备清单List of required materials, assistance and equipment

艺术家自述

Artist Statement

简要介绍您进行驻留的原因-您的项目内容和时间安排

(如果需要，请附上更详细的提案)

Brief outline of your reasons for undertaking the residency - your proposed project and timeline

(Also attach a more detailed proposal if needed)