Villa Champollion Residency Application
Please fill out the form in English.
Email address *
First Name *
Last Name *
Email *
Date of Birth
MM
/
DD
/
YYYY
Nationality *
Country of Residence *
Telephone / Mobile Number
Website / Online Links
CV *
Required
Artist Statement *
Required
Portfolio *
Required
Letter of Intent (In one page or less, a brief description of the work or project that will be carried out during the residency and why you are interested in a Residency at Townhouse?) *
Required
Submit
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