Application form AIR project 2017
To be filled in by the applicant:
Preferred work period AIRP2017 at ARTCEB from ...... until ...... 2017
1. Kind of application
Oindividual residencyOresidency for young participants
Oproject residencyOresidency for former participants
Have you ever applied for a residency before? O yesO no
If yes, name your two most important residencies.
2. Personal details
SurnameFirst name
Address
Zipcode
City
State
Country
Phone (mobile)
Phone (work)
Skype address
Website
Date of birth (day)(month)(year)
Male/Female
Nationality
VAT number
3. Discipline
O Visual artistO PerformerO SculptorO Ceramist O DesignerO Painter
O Other
4. Education / experience
4.aAt which institute
City/Country
Department
From (month)(year) till (month)(year)
Other institute(s)
City/Country
Department(s)
From (month)(year) till (month)(year)
Current occupation or position
Institute / organization
Function
Institute / organization
Function
4.bA selection of the 5 most important exhibitions / projects:
place institute name exhibitions / projectdate
1.
2.
3.
4.
5.
4.cA selection of the 3 most important publications:
book / magazine issue articledate
1.
2.
3.
5. Language
Do you speak Dutch?O noO reasonablyO well
Do you speak English?O noO reasonablyO well
6. Residency
Final application deadline is February 15, 2017 to apply for a work period from August 1 until September 30 at ARTCEB in 2017. The residency is full-time, a continuous period. The participant is personally responsible for transporting the works in the last week of the residency.
7. Enclosures to accompany application form (see explanatory notes)
7.a work plan
7.b digital images
Title Year Technique Dimensions
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
8. Please indicate where you heard about ARTCEB
O a. visit to artist/designer during work period
O b. visit to open day or guided tour
O c. word-of-mouth advertising
O d. website ARTCEB
O e. website ...
O f. Facebook
O g. final presentation by ...
O h. advertisement in ...
O i. publication in ...
O j. exhibition by ...
O k. other ...
9. Payments
A registration fee of € 15.00 is due upon enrollment. ARTCEB accepts online payment through our PayPal
account: or by transfer tot Rabobank accountnumber IBAN: NL71
RABO 0148 2473 69BIC: RABONL2U Artots, Guldenvliesstraat 4H, 5211 AM ‘s-Hertogenbosch.Full payment is due before starting the residency. Please transfer the relevant fee to our account stating ”AIRP 2017Botopasi”.
10. Signature
Date ______Signature ______
More information
In case of any questions or remarks please first consult the internet at and read the ARTCEB AIRP2017 International Residencies Program. Send this applicationform to .
ARTCEB, postal address: Guldenvliesstraat 4H - 5211 AM ‘s-Hertogenbosch - The Netherlands
+31 (0)6 10 73 72 79 - -
Explanatory notes to the
Application form AIR project 2017
Conditions- Complete the form in block letter in black or blue ink or complete it on the computer.
- The work plan must be in English or Dutch.
- Before sending the application form, make sure it has been completed in full and is accompanied by images and a work plan.
- Do not send us any other additional information, such as catalogues, folders, brochures etc.
Additional information will not be included in the selection nor sent back to the applicant. - If you are admitted or not, the documentation becomes property of ARTCEB.
The documentation will not be returned. - ARTCEB is not liable for damage or loss to
documentation received. - If your application is not complete or in
compliance with these conditions, we regret that we cannot deal with it.
Please mark the box of the kind of residency you want to apply for.
2. Personal details
Your personal information will only be used
by ARTCEB for internal use and to keep you informed of the activities by the centre.
3. Discipline
Mark the box of your discipline. This is important to ARTCEB for planning purposes so that the preferred diversity of disciplines, experience and backgrounds can be obtained. ARTCEB categorizes participants as visual artist, performer, sculptor, ceramist, designer, painter, and others.
4. Education / experience
Experience training course(s), exhibitions, projects and publications that in your view are relevant to your present activities.
5. Language
ARTCEB is an international organization where
reciprocal communication about the work is an important aspect. Dutch and English are the
official languages.
6. Residency
The activities have a full-time character unless otherwise agreed in advance. The participant is personally responsible for transporting the works in the last week of the residency. After consultationwe can see howwecan help. / 7. Enclosures to accompany the application form
The application form and the requested documentation, work plan and images, should be sent simultaneously. Do not send any additional information, such as catalogues, brochures or folders. If your application is not complete, we regret that we cannot deal with it. Please check if all enclosures are included before sending in the application form.
7a Work plan
A brief explanation or motivation and workplan concerning the residency in relation to present work plus a visual print or drawing to support your plan. Only when applying for the Residency for Young Participants: two written references are required.
7b Images
ARTCEB prefers to receive digital images:
- Max. 10 images are required.
- The images must clearly show a development over the past 3 to 4 years
- Preferably images of individual works, but no more than 3 views / details per work.
- The files must be in JPEG-format
(maximum 800 x 600 pixels) - The title of the digital images must contain your surname, the year and a number in chronological order (for example: Wens 2016_01.jpg) corresponding to the image list (starting with the most recent work)
Please mark the box where you heard about ARTCEB.
9. Payments
A registration fee of € 15.00 is due upon enrollment.
Please transfer the relevant fee to our account stating ”AIRP Suriname”. To keep the transaction fee as low as possible, we request you to make the payment by bank or PayPal.
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Application form - ARTCEB International Residency Program - -