Name*:

Gender*: Male Female 

Address*:

Country*:

City*:

Telephone number*:

E-mail*:

Website:

Date of birth (DD/MM/YYYY) *:

Place of birth*:

Nationality*:

Education*:

Graduated: Yes No 

Graduated in:

Additional education/masters:

What is your creative discipline?*

Have you ever stayed in a guest studio in Enschede or anywhere else before, and if so, where and when was this?*:

Which would be your preference months to stay in the residency?*
Start:
End:

If your preference were not available, what would be your alternative dates? Alternative 1:
Start:
End:

If your preference were not available, what would be your alternative dates? Alternative 2:
Start:
End:

What is the purpose of your stay in our residency/city?:

Give a description of your intended project/activities during your stay:

Your professional achievements:
List 3 achievements over the last 3 years that you consider to be the most important. (awards, published works, commissioned works, lectures etc.)

Your creative achievements:
List 3 exhibitions, performances over the last three years.

Résumé:

Statement:

Special requirements:
List any special requirements for living accommodations, workspace, and/or equipment that you might need during your residency or things you need to full fill your project.

How did you hear from this residency?:

Upload examples of your work: min 5 photographs, slides or jpegs (max. 2 MB). Only use alphanumerical characters (a-z, A-Z, 0-9, - and _) in filenames. Allowed file types are: bmp, gif, jpg/jpeg, png, txt, doc, docx, xls, xlsx, csv, ppt, pptx, pdf.)

For video or audio files. Please upload the files to youtube or your own space and put the link in the fields below.