Application form

Identification of candidate

Year artistic practice or involvement in the arts and literature began:

Mr Ms / Name / Given name
Street address
No.Street ApartmentCityProvincePostal code
Mailing address if different from the street address
No.StreetApartment CityProvincePostal code
(***) ***-**************@***.****
Telephone (indicate the area code)Email
(***) ***-****
Telephone (work)Website

Artistic discipline (indicate one or more disciplines)

Visual artsCircus artsDigital arts

Multidisciplinary artsPopular songFilm – video

DanceLiterature and storytellingArts and crafts

Music (classical, non classical or contemporary)Multidisciplinary

Architectural research TheatreOther (specify)

The file must contain one copy of the following documents:

Short text of supporting argument (500 words)

The candidate’s curriculum vitæ along with a short biography;

One letter of support from a person or an organization recognized in the arts and literature domains in Québec.

Files in support of a candidacy must be expedited by mail or messenger no later than November 10, 2017. The postmark or delivery slip date is deemed to be the date of receipt of the application. Files should be sent to the following address:

Ordre des arts et des lettres du Québec

Conseil des arts et des lettres du Québec

79, boulevard René-Lévesque est, 3e étage

Québec (Québec) G1R 5N5

Mise en valeur de la candidature

Explain how the candidate qualifies for the Ordre des arts et des lettres du Québec in relation to the following criteria. Please limit yourself to 500 words. (Check one or more criteria)
Contribution of the candidate to the development of Quebec arts and letters, or to their national or international dissemination
Impact of the candidate’s actions or achievements on the evolution of one or more artistic disciplines
Commitment of the candidate, at the community level, to the development or promotion of the arts and letters.

Information on the author of the candidate’s nomination

Mr Ms / Name and Given name
(in block letters)
Mailing address
No.Street ApartmentCityProvincePostal code
(***) ***-**************@***.****
Telephone (indicate the area code)Email

Declaration by the author of the candidate’s nomination

As the author of the candidate’s nomination for the Ordre des arts et des lettres du Québec,

  • I have carefully read the general conditions for eligibility and I affirm that the candidate complies.
  • I agree to respect the decision of the Conseil des arts et des lettres du Québec.
  • I agree to respect the confidentiality of the results until the date of the public announcement.

Name of the organization, if applicable / Role
Dated:
Signature of the author of the candidate’s nomination

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