Transcript artistic strategies in psychiatry – application form

ARTISTIC STRATEGIES IN PSYCHIATRY – APPLICATION FORM
PLEASE FILL IN, SIGN AND RETURN VIA MAIL AS PART OF YOUR APPLICATION AS PDF
Your full name
If you are applying to this program as part of a group,
what is the name of the group?
Name of group members
Date of Birth
Nationality
Telephone
Postal address
E-mail
Website
Please send this form together with the following:
Upon signing this application, I understand and
agree that I will be developing site-specific projects
at the site of GGzE (Geestelijke Gezondheidszorg
Eindhoven en De Kempen).
If selected, I agree to be present on site for the
duration of the residency.
A
Motivation letter (one page maximum)
B
Curriculum Vitae (one page maximum)
Work/Project Documentation (not more than
five works/projects) For video works:
please include vimeo or youtube link
C
Send in your application in a SINGLE pdf file to:
[email protected]
Signature
Date