Wietzie

Artist in Residency Online Application Form

 

 

Can be submitted in French or English

 

Date :

 

Name :

 

Address : Phone (mobile and/or landline):

 

Email address:

 

Website address, if available:

 

Male/ Female Date of birth:

 

Nationality:

 

Languages:

 

Current occupation:

 

What is your specific discipline or field of study:

 

Please attach an outline to explain the rationale and goals of your project and what you ultimately hope to accomplish during the Bastide La Belle residency:

 

Please indicate your preferred dates and length of stay:

 

How did you hear about our residency?

 

Does your project have any special needs or requirements, beyond what you are bringing with you?

 

 

 

Please send the requested attachments along with your online application:

 

• One reference from an individual familiar with you and your work, including their contact details.

 

• Resume/Curriculum Vitae Work samples or similar, if possible, reflecting the type of project you are pursuing..