APPLICATION FORM

REQUIRED


required fields are marked in red

Your name:

First: Last:

Address:

Street:

City: State/Province: Zip/Postal Code:

Country:

Phone:

E-mail:


Where did you learn about this opportunity?
(Please be specific)

Status: (select one)

Website:

Application fee ($30):

I will mail application fee (send to: Manifest Gallery, MAR Application, P.O. Box 6218, Cincinnati, Ohio 45206)
I prefer to use paypal (a link to paypal will be provided upon submission of this form)


I will be submitting my support images and resume by:


attachment (send to show@manifestgallery.org)

Residency scope:



SUPPORT IMAGE INDEX: (no more than 12)

IMAGE 1

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 2

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 3

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 4

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 5

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 6

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 7

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 8

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 9

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes:
(Briefly explain the work, if necessary. Or provide link to video content.)


IMAGE 10

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)

IMAGE 11

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes:
(Briefly explain the work, if necessary. Or provide link to video content.)


IMAGE 12

Title:

Medium:

Size in Inches (h x w x d) in inches:

Date:



Notes: (Briefly explain the work, if necessary. Or provide link to video content.)




LETTER OF APPLICATION: (Provide a formal introduction to yourself, and explain why you are applying for the MAR award, how you will benefit from and utilize the resources of the award, and any details that may help our committee better consider your application and interest in being the Manifest Resident Artist. Please consider the criteria listed in the prospectus when composing this letter to our selection committee. You may copy/paste here.)

CREATIVE STATEMENT: (Discuss your artwork in detail. Give us a sense of why you make art, your creative motivations, your studio philosophy, your goals for development, etc.  You may copy/paste here.)

BIO: (A third person narrative explaining your history, accomplishments, highlights, etc.  You may copy/paste here.)

REFERENCES: (List the names, addresses, phone, and email contact info. for at least three references qualified to comment on your qualifications for this award. You may copy/paste here.)

Double check the information you entered above.

Checking this box and clicking SUBMIT indicates that you understand and agree to the basic conditions and terms of the Residency award as outlined in the prospectus, that you will pay the submission fee, and that you agree to be considered for selection as the third Manifest Artist Residency award recipient for a period of one year.

(A copy of this application will be automatically sent to your e-mail address..
Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.)