2017 Artist-In-Residency Program
Application to be a charter member of Central Christian Church's Artist-In-Residency program.
Email address *
*
Your answer
Last Name *
Your answer
Address
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City/State
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Zip Code *
Your answer
Phone *
Your answer
Preferred Method of Contacting You *
Your answer
What type of art will you work on for this residency? *
Your answer
I affirm that I am 30 years of age or younger as of April 1st, 2017. *
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