Application Form – Patreon-funded Fogliano Residency 2020

Application Form for Patreon Fogliano 2020 Residency Program

Guidelines

Please ensure that you have read all the guidelines prior to making application. These can be downloaded in pdf format from the website.

Name *

Address *

Country

City

State

Zip code

Phone *

Email *

Proof of Identity *

Please provide proof of Identity - scan of driver's licence, passport or official document. Accepted File formats: png, jpeg, gif, pdf. If you have difficulty in uploading a file, please contact us directly.

Type of Application *

Regional (British Columbia)

National (Canada)

International

Please select one only

Emergency Contact Name *

Emergency Contact Information - address, country, postal code

Emergency Contact Phone Number *

Emergency Contact email address *

Attachment #1 - Curriculum Vitae (c.v.) or Resume *

Accepted File Formats: pdf, doc, docx, txt

Attachment #2 - Artist or Writer Statement *

Accepted File Formats: pdf, doc, docx, txt Writers: attach a brief description of overarching concerns or themes.

Attachement #3 - Statement of Intent for Project *

Please be sure to include any special requirements re: equipment, workshop, space, etc. Accepted File Formats: pdf, doc, docx, txt

URL to website

In lieu of attaching images, please include your website, which includes a portfolio of your work online.

Attachment #4 - Artist Portfolio or list of published works

ONLY IF YOU DO NOT HAVE A WEBSITE WITH PORTFOLIO - submit between 10 - 20 images of recent work. Please combine the images into only one file, then upload.Do NOT upload a file larger than 54 MB. Accepted file formats are pdf, jpg, gif, png, doc, txt. For video or sound work, include a link to a portfolio of your work online.

Attachment #5 - Please attach One (1) Letters of Recommendation

Make sure your reference includes letterhead and/or their contact information (phone, e-mail and address.) Also make sure your reference defines their relationship to you. These may be sent directly, separate from this application, to: air@caetani.org

Additional Attachments - Please supply any additional information that you feel may be pertinent to your application

Accepted File Formats: pdf, doc, docx, txt, jpg, gif, png

Check List *

C.V. or resume

Artist Statement

Statement of Intent for Project

Portfolio or link to website (preferred)

2 letters of recommendation or sent separately

Proof of Identity

Please ensure that you have provided ALL of this information (letters of recommendation can come later)

Applicant's Signature. Please ensure that you have read and understood all the guidelines and requirements for the program you are applying for.

I affirm that all information presented is complete, correct and accurate, and that any work presented is the result of my own creative efforts. I have read through the guidelines and conditions and understand my obligations to the Caetani Cultural Centre and the Artist in Residence Program as specified. The information collected on this form will be used solely by the Caetani Cultural Centre Society for the purposes of admission, registration, sponsorships, accommodation, follow-up or program evaluation, research, planning or funding purposes. Please contact us if you wish to be removed from any future mailing lists. If accepted, I agree to conduct myself in a manner that meets with the expectations of all program participants and the Caetani Cultural Centre Society. By submitting this form I agree to the above conditions.

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