Venice, Italy Artist Residency Application
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Duration: April 1--April 30, 2019 Cost: $2,500 (USD)
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Your Full Name *
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Date of Birth (day/month/year) *
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Nationality/Citizenship *
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Address *
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City *
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State/Country *
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Mobile Telephone # *
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How did you hear about our Program? *
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In which mediums will you work during residency? *
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What will be your areas of focus during residency? *
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Briefly describe your artistic influences. *
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Do you have any health or dietary restrictions we should be aware of? If so, please provide necessary information. NOTE: Participants must be able to comfortably walk a great deal. Including up and down steps, over bridges and along cobble stone walkways. Mobility is important as Venice is unique from other "accessible cities"--all transportation is done on foot or by boat! *
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Will someone be accompanying you during residency? If yes, please give brief introduction. *
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How will you be arriving to Venice? Where shall we meet you...Marco Polo Airport, Bus or Train Station? *
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Please provide up to 3 jpeg images of your work. Links/images may be entered below, or may be sent as separate email attachments to rawlingsartandsoul@gmail.com, please indicate. *
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Additional information or questions, please enter here:
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Please remember to return to this form after having made your PayPal transaction (see below), and "hit" the SUBMIT button. Otherwise your application will not be sent! *
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A non-refundable application fee in the amount of $20 USD, must be made at this time. If payment via PayPal (see link below) is not submitted along with this completed form, this application will be invalid. Please click on link below to pay via our secure PayPal account. Here is the link to our secure PayPal payment center: paypal.me/rawlingsartandsoul *
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