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Application for Retreat

NAME_____________________________________________________________

SS#______________________________________________________________

Address__________________________________________________________

City___________________________State____________________Zip______

Day Phone___________________ Evening Phone_______________________

Email___________________

My 3 alternative residency dates are:

Art Discipline______________________

Condensed description of work _____________________________________

___________________________________________________________________

___________________________________________________________________

Applications will not be returned.

Please attach the following:

• 1 page describing your work as an artist and what your artistic work during the retreat will be.
• Up to 2 pages of resume
• Not more than 2 pages of additional supporting material (i.e., bio, clippings, reviews, etc.)
• 1 page describing your work samples (date, size, medium, etc). Use same titles on work samples as those used on digital submissions. See below.
• Work samples: visual artists - 12 jpegs on a CD (jpegs should be numbered consecutively 1-12 with artist's last name. e.g., 1jones; 2jones, etc. Jpegs should be a maximum of 1000 pixels on the widest dimension); writers - 12 pages or submit electronically; musicians - 1 CD; film, video, dance, theater, performance art - 1 DVD.
• 2 letters of recommendation (may be sent separately)

______________________________________________________________________

(Signature) (Date)

THE POSTMARK DEADLINE FOR RETREATS FROM MAY THROUGH DECEMBER IS APRIL 1^ST. THE POSTMARK DEADLINE FOR RETREATS FROM JANUARY THROUGH JUNE IS OCTOBER 1^ST.

Mail form and attachments to:

New York Mills Arts Retreat

PO Box 246

New York Mills, MN 56567

Telephone: (218) 385-3339

E-mail: nymills@kulcher.org

The New York Mills Regional Cultural Center
24 North Main Avenue, Box 246
New York Mills, MN 56567

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