Residency Program Form In the case of a duo or a group, fill out one form per artist. "*" indicates required fields IdentificationArtistic discipline* Contemporary Circus Arts Visual Arts Literature Danse Cinéma Théâtre Musique Art numérique Autre Autre, précisez*Last Name* First Name Last Name Name of artist, group or affiliation Address* Street Address Town State / Province / Region Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Telephone*Website Will you invite collaborators during your residency?* Yes No How many people and for how long ?* How did you hear about D’Arts et de rêves?* Description of stayDuration of stay requested (Number of weeks)* 1 2 3 Residency dates desired by the artist Choose two dates by order of preference (start dates)First choice*1st half of January2nd half of January1st half of February2nd half of February1st half of March2nd half of March1st half of April2nd half of April1st half of May2nd half of May1st half of June2nd half of June1st half of July2nd half of July1st half of August2nd half of August1st half of September2nd half of September1st half of October2nd half of October1st half of November2nd half of November1st half of December2nd half of DecemberSecond choice*1st half of January2nd half of January1st half of February2nd half of February1st half of March2nd half of March1st half of April2nd half of April1st half of May2nd half of May1st half of June2nd half of June1st half of July2nd half of July1st half of August2nd half of August1st half of September2nd half of September1st half of October2nd half of October1st half of November2nd half of November1st half of December2nd half of DecemberThe dossierFile names must not contain special characters, etc. Only letters, numbers, hyphen and underscore are accepted. Any special characters will prevent your form from being sent.Documents to be attached to the submission*One PDF document with the following sections: • Description of the proposed project (maximum three pages) • Artist approach (maximum one page) • Recent Curriculum Vitae (maximum three pages) and link to a website, if any • Press dossier and / or list of publications if any (maximum five pages) • Dossier: 10 pages of text extracts The maximum size allowed for the PDF file is 3 MB.Accepted file types: pdf, Max. file size: 128 MB.Commentaires
