Artist in Residence Application Artist in Residence Application Step 1 of 4 25% Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Present Occupation:*Ethnic and Cultural Background (Optional):Spiritual Affiliation (Optional): Primary creative medium or practice:*Desired residency session:*Fall 2018 Session II (October 18 - November 17)Winter 2019 Session (January 3 – February 5)Spring 2019 Session I (February 7 – April 9)Spring 2019 Session II (April 11 – June 2)In order to build a strong sense of community among resident cohorts, we ask that all residents plan to arrive and depart on the dates indicated. Please describe your work space requirements & requests:*Are you willing to share studio space?*YesNoWhat specific creative exploration(s), project(s), or goal(s) do you intend to pursue if offered a Guild residency at this time?*Please describe any safety or health hazards associated with your creative process, and comment on your preparedness to maintain a safe studio practice.*How will your creative practice & goals relate to the diverse creative & spiritual community of the Guild?* 1. Please comment on your preparedness to take on community volunteer tasks such as washing dishes or caring for community spaces:Please comment on your preparedness to share common living & sleeping space with people of different backgrounds, ages, and genders:*Do you have any medical considerations of which we should be aware?*Do you have any dietary restrictions?* Please attach a portfolio, writing sample, or other representation of your past creative work, and a professional resume or CV. Drop files here or Alternately, if these materials are readily available on your website or online portfolio, you may link to it here: Professional Reference Name & E-Mail*This individual colleague, professor, studio-mate, or other individual who is familiar with your work in a professional context – not a friend or relative. They will be e-mailed the link and password to a reference form to complete online.Personal Reference Name & E-mail*A mentor, clergyperson, or long-term friend who knows you well in a personal context – not a relative. They will be e-mailed the link and password to a reference form to complete online.