ARTIST-IN-RESIDENCE PROGRAMME OF Q21 in the

MUSEUMSQUARTIER VIENNA in

co-operation with THE AUSTRIAN MINISTRY FOR

EUROPE, INTEGRATION AND FOREIGN AFFAIRS 2017

APPLICATION FORM
1. GENERAL INFORMATION

NAME…………………………………………………………...

ADDRESS………………………………………………............

……………………………………………………......................

COUNTRY………………………………………………...........

E-MAIL…………………………………………………………

PHONE………………………………………………………….

WEBSITE……………………………………………………….

PREFERRED MONTH (please fill in two choices/months)

2. LETTER OF INTENT (please fill in directly in this form)

why you apply, what you expect - what would you like to focus on during the
residence
(max. 5000 characters)

……………………………………………………..............

3. CURRICULUM VITAE (please fill in directly in this form)

max. 1 page

……………………………………………………..............

Please return this form (PDF) together with your portfolio (PDF) until August 1st,
2016.