Date:
Name
Address
Email:
Phone (Day/Evening/Fax)
Please list your preferred dates: Indicate dates that do not work for you.

Artistic Category:
Emerging
Mid-Career
on Sabbatical

Description of proposed project, include space & equipment requirements.



References (three are required):
1. Name
Address/Phone
3. Name
Address/Phone
3. Name
Address/Phone

I am able to pay the 30.00euro/day residency fee.
YES NO
Please note - if you have checked 'NO' - you CANNOT afford the 30.00euro/day fee - Describe for us your particular circumstances, and financial situation. Indicate how much you can afford per day, and whether a one year payment plan would be helpful.


Application must be completed in full. Incomplete applications will not be reviewed. Please include a $20 application fee made payable to M. Murray / F.C.R. Print this completed application and mail along with all the supporting materials to:
Footpaths to Creativity Residency
8 Rideout Ln.
Stoughton MA 02072

Checklist:

Resume to follow by mail.
Three letters of recomendation to follow by mail
Slides and/or written manuscript/thesis, or published/ unpublished work to follow by mail.
Include Self-addressed stamped envelope for return of above materials (we prefer NOT to return materials - but will at your request)

I heard about Footpaths to Creativity through...
Signature

As an alert to us that your application and supporting materials can be expected in the mail, please simply cut and paste this completed application into a word document and send to us as an attachment via electronic mail. Please label the subject line "application alert". Our address is found on our contact page.