Burren College of Art  
   
   

Artist in Residence Application Form

First Name:

Middle initial

Last Name:

Telephone:

Fax:

Email:

Current Mailing Address:

City & State:

Permanent Home Address:

Home Telephone:

Home City & State:

Home Fax:

Home Email:

Date of Birth (dd/mm/yy):

Age (in numerals):

Gender (Please tick)

Male
Female

 Birthplace:

Country of Citizenship:

 Social Security No:


Please give us some details of your Art Career:

Period of Residency applied for, please be as specific as possible:

Please describe your art and work methods:
(Note: Please forward slides)

What do you hope to achieve during your period at Burren College of Art?

Ideally what kind of studio space do you require?

How did you hear about the Burren College of Art?

Website
Study Abroad Office
Our Poster/Literature
Alumnii
Advertisement
Faculty Teacher/Instructor
Other (Please specify)

 

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