Application Form for the "SHORTSTAY Program"
Please read the details regarding the program before completing this form.
First Name
名前
Your answer
Last Name
名字
Your answer
Mr/Ms
Required
Age
年齢
Your answer
Date of birth
生年月日
MM
/
DD
/
YYYY
Nationality
国籍
Your answer
Live and works in(city/country)
拠点
Your answer
E-mail
Your answer
Your website
Your answer
Field of Art
アートのジャンル、分野
OUTPUT
Purpose of your visit to Japan
日本(または松戸)に来る目的
Your answer
What dates are you planning to be in Japan?
滞在予定期間  ex) 2017/Oct.1 - 2017/Nov.1
Your answer
What month are you hoping to come to PARADISE AIR?
滞在予定期間  
Do you hope to come to PARADISE AIR with someone else? (Please tell us who, and the number of people)
Your answer
Plans or other activities as artist, while you are at PARADISE AIR
PARADISE AIRにいる間に行う予定のアーティスト活動
Your answer
Artistic Output
一芸
Required
How did you get to know this program?
このプログラムをどこで知りましたか?
If you heard of PARADISE AIR from a friend, please tell us their name below
Your answer
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