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Personal Information Sheet

Open Call Studio Residency Stipend


Bibliothek Andreas Züst

DESIRED PERIOD Month : April (Application Deadline: October 31)


OF STAY November (Application Deadline: May 31)

Request for Living Costs Subsidy (CHF 250 per person / week): yes no

For working teams of up to four persons, please fill in the respective


information individually for each person.
PERSONAL Last Name /First Name: 
INFORMATION Address : 
(Individual or Country : 
First Person
of a Team) Telephone : 
Email: 
Website : 
Nationality : 
Date of Birth : 

EDUCATION Education/ Study Program : 


Institution : 
Year of Graduation : 

Education/ Study Program : 


Institution : 
Year of Graduation : 

LANGUAGES Language : 
AND LEVEL native speaker or bilingual  fluent
able to converse  basic knowledge

Language : 
native speaker or bilingual  fluent
able to converse  basic knowledge

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PERSONAL Last Name /First Name: 
INFORMATION Address : 
(Second Person
of a Team) Country : 
Telephone : 
Email: 
Website : 
Nationality : 
Date of Birth : 

EDUCATION Education/ Study Program : 


Institution : 
Year of Graduation : 

Education/ Study Program : 


Institution : 
Year of Graduation : 

LANGUAGES Language : 
AND LEVEL native speaker or bilingual  fluent
able to converse  basic knowledge

Language : 
native speaker or bilingual  fluent
able to converse  basic knowledge

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PERSONAL Last Name /First Name: 
INFORMATION Address : 
(Third Person
of a Team) Country : 
Telephone : 
Email: 
Website : 
Nationality : 
Date of Birth : 

EDUCATION Education/ Study Program : 


Institution : 
Year of Graduation : 

Education/ Study Program : 


Institution : 
Year of Graduation : 

LANGUAGES Language : 
AND LEVEL native speaker or bilingual  fluent
able to converse  basic knowledge

Language : 
native speaker or bilingual  fluent
able to converse  basic knowledge

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PERSONAL Last Name /First Name: 
INFORMATION Address : 
(Fourth Person
of a Team) Country : 
Telephone : 
Email: 
Website : 
Nationality : 
Date of Birth : 

EDUCATION Education/ Study Program : 


Institution : 
Year of Graduation : 

Education/ Study Program : 


Institution : 
Year of Graduation : 

LANGUAGES Language : 
AND LEVEL native speaker or bilingual  fluent
able to converse  basic knowledge

Language : 
native speaker or bilingual  fluent
able to converse  basic knowledge

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