Name: ______________________________
Address: _____________________________
_____________________________
Phone: ______________________________
Email: _______________________________
Primary Media: ________________________
(Materials and processes that you have usually worked with)
Proposal Media: ______________________
(Materials and processes that you intend to work with during Intensive or Residency)
Proposed Media Experience: _________________________________________
(For example, if bronze casting, how many times have you poured?)
Residency & Workshop Sessions
(Indicate 1 & 2 for first and second choices)
Residency Sessions:
Session I
August 8 - 27 (3 week) ( )
Session II
September 5 - October 1 (4 weeks) ( )
Checklist: Send to: The Sodus Art Banck, LLC Residency
_______This Form 27 East Main Street
_______Slides or CD (10 or more images) Sodus, NY 14551
_______Resume
_______Proposal
_______SASE Envelope
