Copland House Residency Application
Email address *
First Name *
Last Name *
Mailing Address *
street, city, state, zip (& country, if outside the US)
Phone number
Birthdate *
Birthplace *
city, state
Performing Rights Affiliation *
I attest that I am a U.S. Citizen or Permanent Resident, and will promptly provide residency documents to Copland House, if requested. *
Official proof of citizenship or residency includes U.S. birth certificate, U.S. passport, Board of Elections registration card, or USCIS document. Neither driver's license nor Social Security card is acceptable.
Attach a brief 1- or 2-page resume with educational background, professional activities (commissions, performances, awards, etc.), and works list. Include a short description of the creative work you hope to accomplish while in residence at Copland House. What will this project mean to your career? *
Never submit passwords through Google Forms.
This form was created inside of Copland House. - Terms of Service