COVID-19 Protocol Participant Liability Waiver Biographical Questions We will never give away or sell your contact information. First Name * Last Name * Preferred Pronouns * Phone Number * Email Address * Mailing Address * If one of the fields does not apply to you, please place a double dash (--). Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Website If you don't have a website, please send us a pdf of work samples to info@artslettersandnumbers.com http:// Additional Links Soundcloud, blog, Vimeo etc. How did you find us? * Application Questions What are your preferred dates of attendance at ALN * How many weeks would you like to participate? * Note that applicants requesting longer stays will be given first priority. What kind of studio space would you need? * Describe your process and spatial needs. Sleeping Accommodation * Please note that while we will do our best to accommodate your preferred sleeping arrangement, availability first has to be guaranteed and will be confirmed via email. For more information on the options listed below, please visit our Artist Residency page to read more details on each accommodation type. Shared Room (House) Private Room (House) Private Room for Couple (House) Shared Room (Twins) Private Room (Twins) Private Room for Couple (Twins) Shared Room (Inn) Private Room (Inn) Private Room for Couple (Inn) Primary Art Form, Practice, Discipline, Instrument * Area of Interest * Describe your primary field/questions of interest. Skills * Describe the skills, talents, and character traits you most value in yourself. Why are you interested in this program? * Additional Information COVID Waiver & Guidelines * By clicking yes in the box below you agree that you have carefully read, understood and will follow all of Arts Letters & Numbers's COVID guidelines, prior to arrival and during your time living in Arts Letters & Numbers Averill Park Campus. Yes, I agree No, I have concerns about this Participant Liability Waiver * By clicking yes in the box below you agree that you have carefully read the Participant Liability Waiver on this page, and understood that you are responsible for yourself and your actions in the Artist Residency Program. Yes, I agree No, I have concerns about this Thank you for your application. We will review your scholarship application along with your program application. We will get back to you as soon as we have done so.- Arts Letters & Numbers Artist Residency Application Form
