Artist Residency Application

#ROOMATELLISHOUSE: Artist/s in Residency Application
Full Name*
E-mail*
Address*

Street Address

Street Address Line 2

CityProvince / Territory

Postal Code
Phone Number*

Area CodePhone Number
Statement of intent (max 250 words)*
Residency to function as*

Research leading up to a new body of workProduction of new body of workPresentation of newly created body of workAll of the above
Anticipated Duration of Residency

1 Month2 Months3 Months
Anticipated Begining Date of Residency

MonthDayYear
Please upload a copy of your CV*

Upload a File

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Examples of Work
You can submit up to 10 images,
or a link to a 5 minutes video
or a link to a 5 minutes audio peice and 5 images.

JPEG format, 500Kb each
Examples of work : Images (Not more than 2 years old)

Upload a File

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Video or Audio link
List of Works Uploaded (Titles to include full captions)

Upload a File

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Terms and conditions apply.

For more information email: roomforinfo@roomgallery.co.za
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#ROOMATELLISHOUSE: Artist/s in Residency Application