RESIDENCY APPLICATIONArtcroft is currently restructuring its Residency Program to incorporate opportunities to offer community programming in our nearby town of Millersburg. We will post specifc information in the coming months.

Personal InformationName:Address:City:Home Phone:Email:Date of Birth:Creative Discipline:

State: Zip: Fax:

Place of Birth:

Work Phone:

Requested Dates

Personal and Professional References

Artcroft offers residencies from May 1st to October 31st. Submit your application 3 months ahead.

First Choice: Second Choice:

Residencies last for a period of two to four weeks.Residencies are completely self-catered, with residents being responsible for the preparation of their food and the following:

You will need two personal and two professional letters of recommendation to apply.Can be digital or mailed.

$125 per week (offsets costs of utilities and maintenance)Art Supplies and materials related to creative projectsTransportation and costs associated with transportationFood expenses

Phone Number:Additional Notes:

RelationEmail:

Name:

Phone Number:Additional Notes:

RelationEmail:

Name:

RESIDENCY APPLICATION

Work you wish to undertake while at Artcroft

Phone Number:Additional Notes:

RelationEmail:

Name:

Phone Number:Additional Notes:

RelationEmail:

Name:

Please describe the Creative Work you wish to make while in Residency at Artcroft.

Your Working Space Requirements

PLEASE SUBMIT THE FOLLOWING WITH APPLICATION

Terms and Conditions of Residency

Send Package to...

Please list Specific Requirements for Living or Studio Accommodations

A copy of the completed Application FormApplication fee of $30.00 (cash or check payable to Artcroft for $30.00)Signed Waiver of Liability (Terms and Conditions below)A copy of your professional resume/curriculum vitaeTwo or more work samples

Proposal for participation in Community Arts

Writers: If sending a chapter of a larger work: include a synopsisArtists: Prints, Slides, or digital photos are accepted

ARTCROFT takes great care in the handling of documentation but cannot be held responsible for loss or damage of submitted materials.

ARTCROFT is not responsible or liable for the maintenance, upkeep, safeguard, care or custody of any creative output including works of art in any form produced by residents.

ARTCROFT cannot be held responsi-ble or liable for belongings, personal effects, accidents or injuries while in residency

ARTCROFT reserves the absolute authority to require any resident to depart upon receipt of written notice.

I agree to be bound by the Terms and Conditions of the ARTCROFT Resi-dency Program

Signature: Date:

115 East 5th St. Millersburg/Paris, KY 40361