Artist Residency Application

If you are an artist interested in participating in the Farm-to-Art Residency Program, please complete this application form. Thank you.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Bio
(100 words)
Available Dates for Residency
Type of farm most suitable for your needs.
Do you want to bring your spouse or partner? Other family members?
Amount of space required:
Special Consideration

(Accessiblity, Wifi, diet, etc...)
Past experience with agriculture, food, and/or environmentalism:
List three references and contact information (phone and email)
Proposal
In 100-150 words, describe the kind of experience you would like to have on a farm and how it might be reflected in your work.)
App Fee
$35 Application Fee - Payment Information

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name