Application Forms (Artist) 2013

(Submit the printed hard-copy and the digital file on CD-R)

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 1 <Personal Data>

Name
（Attach photo）
3.5cm×4.5cm
Sex / Date of birth
Nationality / Marital status
Place of birth / Other languages 1
2
3
Primary language(s): 1
2
Home address （required）
Tel Fax
Email Mobile
Work
Tel Fax
Email
Other （ ）
Tel Fax
Email


(Submit the printed hard-copy and the digital file on CD-R)

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 2 <Curriculum Vitae

1. CV （Please write no more than 5 selected items of education, work experience, etc.）

(Year)

2. Past exhibitions (Please write no more than 10 selected solo and group exhibitions)

(Year)

3. Please state if you have any experience of Artist in Residence Programs in the past

(Up to 5 items)

(Year)

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 3 <Proposal 1

1. Please select a time period from below (Check one of them).

15 May to 23 July 2013 / 13 September to 19 November 2013 / Either of the dates

2. How did you hear of this program?

3. Reasons for application

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 4 <Proposal 2

Plan of collaborative art-making with the people of Fukuoka

Content and work schedule (Please attach drawings separately)
Method for collaborative art-making with the people of Fukuoka

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 5 <Proposal 3

Proposal for workshop

（If you have several plans, please use a photocopy of this form for each plan.）

Title
Target groups / Please state which group of people you would like to work with. (Eg. Adults, college students, high school, junior high school, elementary school students, children (or preferable age), parents and children etc.)
Content （Please include drawings in this frame, if any）

Fukuoka Asian Art Museum Artist in Residence Program 2013

Application Form 6 <Letter of Recommendation

I would like to recommend the below-mentioned artist for the Fukuoka Asian Art

Museum Artist in Residence Program 2013.

Name of the artist

Date Signature

This form must be filled in by the recommender.

Name of the recommender / Nationality
Occupation / Position
Name of the organization or institute
Address of the organization or institute
Tel Fax
Home address
Tel Fax
Email Mobile
Relation with the artist
Reasons for recommendation