Kulturverwaltung desCultural Affairs Department
Berliner Senats of the Berlin Senate
Application Form
2016GLOBAL Exchange Stipend for Visiting Artists from Berlin
Artist residency abroad for: 1 2 3 months (Please tick box which applies)
Residency beginning date:
Residency ending date:
Host Institution:
Host City, host Country:
APPLICANT’s Last Name, Given Names
(As indicated in your passport)
FemaleMale
Please tick box which applies
Profession, focus of artistic work
Living and working in Berlin since:
Permanent address,
Postal code, city
Phone (home, studio)
Fax
Website
Date of birth,
Native city and country
Nationality
Countries of origin of your parents
(Migration background)
Please indicate existing contacts to the art community in the host city you have been invited to
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Application GLOBAL Exchange Stipend/English version page 2Applicant's name:
PROFESIONAL BACKGROUND
1. Graduation degree/year, art discipline, University
2. Professional activities and teaching experience
3. Extended stays abroad
4. Awards, stipends, scholarships
5. Single and group exhibitions, performances
6. Important recent works, publications, works in museums, public and private collections etc.
Application GLOBAL Exchange-Stipend/English version page 3Applicant's name:
Aims of the GLOBL exchange artist residency in the city
Please indicate the aims/reasons for the residency and the art projects you intend to implement there
a) What is the peculiarity of your project concept and how do you want to implement it?
b) Proposed action during artist residency
Professional exchanges Professional training Open studio event/exhibition
Other, please specify:
c) If organizing event/s: Anticipated schedule:
d) Describe the objective, artistic development, long-term impact you are aiming for:
Application GLOBAL Exchange Stipend/English version page 4Applicant's name:
Documentation / Artist Portfolio (max. 2 MB)
Please submit electronically 10 still images (pdf), or for video and performance art: indicate link to a 10-minute video to be viewed by the jury on your website.
Applications shall be submitted online. Only in exceptional cases a paper application is accepted: In case of justified interest non-electronic applying is possible by submitting a paper application accompanied by the following documentation of previous work: either 1 CD-R with max. 10 images (pdf) or 1 DVD: with a ten-minute video for video and performance artists.
List of work samples
N° Title/ year material/media Dimensions
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Link to the artist’s website:
I accept the conditions of this application. I confirm that the information I have provided in this application is complete and accurate.
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Berlin, datesignature