1Introduction This application form and the accompanying guidelines for applicants are for the Aomori Contemporary
Art Centre "Artist in Residence program 2013/Autumn." For an explanation of the program details and conditions, please see the APPLICATION GUIDELINES document. Please read and confirm the conditions in this document carefully before filling in this form and applying for our program. (2)How to apply To apply, please submit the following documents by the due date. a. A Completed Application Form. (including a work proposal) b. A Portrait photograph. (Please attach it to the application form) *the photo should have been taken within the last 6 months. c. Portfolio (A4 size or letter size) d. Depending on the genre (performance, film or sound etc), edited film or music must also be submitted by DVD or CD (if you need). * The Organizer has the right to use the materials submitted by successful applicants for public relations purposes.
Important Any application which reaches ACAC after the deadline will not be accepted.
Any application which fails the requirements stated above will not be accepted. Submitted items (application form and images) will not be returned to the applicant. If it is important that the materials be returned, please send an envelope with return name and address and a set of international reply coupons or give us your account number of the International transportation company for shipping freight collect. Applications via E-mail and Fax will not be accepted. (3)Deadline for Applications
Applications must reach us by post no later than
(4)Address to submit Application Form Aomori Contemporary Art Centre atten: AIR 2013 152-6 Yamazaki, Goshizawa, Aomori, 030-0134, JAPAN
May 20, 2013.
(5) Supplementary Materials For particulars or requests about the materials please inquire at Aomori Contemporary Art Centre by e-mail or FAX. acac-air@[Link] URL: [Link] Fax +81-17-764-5201
FORM (1/7)
Please type or print clearly in block letters A. Personal Information
First Name: Family Name:
Please attach your portrait here.
Name as recorded in passport (if different from above)
Home Address:
Country / Post Code E-mail
Tel (Home):
Fax (Home):
Contact address (if different from above):
Country / Post Code: Contact phone number: (if different from above):
Fax:
Emergency contact address or phone number
Date of birth: year: /month: Male / Female
Age: /day:
Town / City of birth:
Nationality:
Please describe your current activities / employment briefly:
Place of employment:
Occupation / position:
How did you find out about this program?
FORM (2/7)
B. Experience of staying in Japan
Have you ever visited Japan? YES If yes, please explain briefly what kind of stay in Japan it was: NO
CExperience of Artist-in-Residence Programs
Have you ever been invited to participate in Artist-in-Residence Programs before? YES NO
If yes, please explain briefly when and where (city / country) you went, and what kind of programs (the organizer, contents, etc.) they were:
FORM (3/7)
D. Curriculum Vitae and Record of Activities
Genre of the artwork
1 Curriculum Vitae Year / month
Academic background
2 History of Activitiesselected * Please write your selected exhibitions or activities. If you would like to attach full versions History of Activities that will only be used in the selection process, please do so on a separate sheet s. year month History of creative activities, main exhibitions of works, experience of working in residence, etc
FORM (4/7)
E. Artists Statement: Please complete your Artists Statement within 100 words.
F. Motive for Application: Please state your motive for applying to this program within 150 words.
FORM (5/7) -- G. Work Proposal
Please outline your work plan and proposed themes for this program.
FORM (6/7) -- H. Exchange program Proposal
Please explain about your plan for the lecture, workshop or communicative/ collaborative project with local people and so on.
FORM (7/7) -- I. Information about your outstanding artwork
*Please choose 1 artwork as your outstanding work. Please attache the image of your outstanding artwork that you have chosen.
title: media: year: location of exhibition: note (if you need) :