Atelier Simeon ten Holt
ARTIST IN RESIDENCE - APPLICATION FORM
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Name *
Female/Male *
Home address: street and number *
Home address: city and zip-code *
Home address: country *
Nationality *
Email address *
Mobile telephone number *
To apply, we require a portfolio of your relevant work, a personal statement and an outline of a project you would like to develop while staying at Atelier Simeon ten Holt. *
Hyperlink(s) to your website and/or social media *
Intended length of stay *
Possible starting date (1st choice) *
(dd/mm/yyyy - in the period March - November only)
Possible starting date (2nd choice)
(dd/mm/yyyy - in the period March - November only)
Possible starting date (3rd choice)
(dd/mm/yyyy - in the period March - November only)
Agree to the conditions and submit the form
I agree to the general conditions *
Required
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