Community Arts Lab - Urban Residencies


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Name and Surname *
Email *
Phone number *
format: +00 000 000 000
Country *
Web page *
any links to to your works
Do you need Shengen visa?
Date of birth *
MM
/
DD
/
YYYY
Passport nr
for visa invitation
Description of the project, which would be implemented within the framework of residence *
max 1500 signs
How do you would you like to engage the local community into your project? *
max 1500 signs
When would you like to come to Lublin *
please specify dates between 1st June 2016 and 30th September 2016 (at least a month)
According to the Act of 29 August 1997 on the Protection of Personal Data (Journal of Laws of 2002 No. 101, item. 926, as amended.) Agree to the processing of my personal data by the Workshops of Culture in Lublin *
Required
 I hereby consent to the use of my image by the European Foundation for Urban Culture and the Workshops of Culture in Lublin in accordance with the statutory activity *
Required
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