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Name:
Phone (incl. area code):
E-mail:
Discipline: Visual Arts/Literature/Music/Film
Dates of Residency Desired:
From: To:
(residency duration is usually 2 weeks
3 months, shorter periods by special arrangement)
Short Biography:
Brief Statement of Creative Project:
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Reference #1:
Name:
Title:
Phone (incl. area code):
E-mail:
Reference #2:
Name:
Title:
Phone (incl. area code):
E-mail:
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