Artist in Residence Application
Deadline: March 31, 2017
Name
First, Last
Your answer
Street Address
Include Apt, Ste or Box number if applicable
Your answer
City
Your answer
State or Providence
Your answer
Country
Your answer
Postal Code
Your answer
Email
Your answer
Web Address
http://
Your answer
Preferred Medium
Examples: paint, clay, sculpture, collage, photography
Your answer
Type of Residency
How did you hear about our program?
If you found us in an Open Call directory, which one?
Your answer
Intentions:
Breifly describe your goals for your time as an AIR
Your answer
Outreach (summer program only)
Breifly describe a community outreach area of interest in which you will participate
Your answer
References
Please provide contact information for two references
Name (reference one)
First, Last
Your answer
Email or Phone (reference one)
Your answer
Name (reference two)
First, Last
Your answer
Email or Phone (reference two)
Your answer
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