Application Form 1 - sairblog

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How to Apply. Please send the completed application through online storage services such as yousendit.com or wetransfer.
Tokachi Artist-in-Residence 2014

Application Form 1 How to Apply Please send the completed application through online storage services such as yousendit.com or wetransfer.com. Do not attach any data in your email but include the links to the server where your data is stored. Send an email with the link(s) to your downloadable application data to:

[email protected]

Which residency are you applying for? ☐ Urahoro

☐ Nakasatsunai

Family Name:

Other Names:

Nationality:

Gender:

Date of Birth (DD/MM/YYYY):

Age:

☐ Either one

Address: Telephone (including the country code):

Mobile Number:

Email: Website/Blog: Emergency Contact Name: Telephone:

Relationship: Email Address:

How did you hear about T-AIR Residency Programme? ☐ T-AIR Website/Blog ☐ S-AIR Website/Blog/Mailing Notification ☐ Advertisement/Media

☐ Social Media such as Twitter or Facebook ☐ Word of Mouth ☐ Others (

Have you ever participated in artist-in-residence programmes?

☐ Yes

☐ No

If yes, please list the name and the year of programmes you participated:

Do you currently have a studio?

☐ Yes

☐ No

If Yes, how big a studio do you usually work in? What kind of equipment would you need to make your artwork?

Genre of your practise:

If you need more space, you can either extend the box or attach a separate sheet of paper

Application Form - Page 1

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Tokachi Artist-in-Residence 2014

Application Form 2 Artist’s Statement (less than 200 words)

Please write a proposal for your potential work as well as workshop in Tokachi:

If you need more space, you can either extend the box or attach a separate sheet of paper

Application Form - Page 2