Application Form

Artist/ Writer in Residence application: Footpaths to Creativity Center - 2003

Date:
Name
Address
Email:
Phone (Day/Evening/Fax)
Please list your preferred dates: Indicate dates that do not work for you.

Artistic Category:
Emerging
Mid-Career
on Sabbatical

Description of proposed project, include space & equipment requirements.



References (three are required):
1. Name
Address/Phone
2. Name
Address/Phone
3. Name
Address/Phone

I am able to pay the 20.00euro/day residency fee.
YES
NO
Please note - if you have checked 'NO' - you CANNOT afford the 20.00euro/day fee - Describe for us your particular circumstances, and financial situation. Indicate how much you can afford per day, and whether a one year payment plan would be helpful. Please also indicate whether you would consider working in exchange for a portion of the fee.


Application must be completed in full. Incomplete applications will not be reviewed.

Checklist:

Resume to follow by mail.
Three letters of recomendation to follow by mail
Slides and/or written manuscript/thesis, or published work to follow by mail.
Include Self-addressed stamped envelope for return of above materials

I heard about Footpaths to Creativity through...
Signature

You can submit your application online or print it and send it to:
Footpaths to Creativity
8 Rideout Ln.
Stoughton, MA 02072


If you are mailing this application, please include the $20.00us application fee, in the form of a check or money order. If you are e-mailing the application, please mail the fee to Footpaths along with all of your required application material.

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