(click
here to download the application in MS Word 97 format.)
(click
here to download the application as a "rich text"
file.)
Questions? Call Jay Salinas or Donna Neuwirth
phone: (608) 524‑8672 e‑mail: wormfarm@jvlnet.com
Name:
____________________________________
Address:
________________________________________________________
State/Province:
_________________________ Postal Code: _______________
Country:
______________________________
Phone:
___________________________ E-mail: ________________________
Date
of Birth: _________________________
Primary
Media: ___________________________________________________
The Wormfarm Institute is looking for artists with an
interest in sustainability and connection to the land.
1.
Give
a brief statement as to why you would like to do a
residency at the wormfarm and a description of a project
you have in mind (we understand this may change once
you arrive).
2.
Part
of your residency at the Wormfarm Institute will be
helping in our organic vegetable garden. There will
also be work on various buildings; including the barn
which is gradually being converted to artist studio
and workshop space. Visiting Artists also may offer
arts-based workshops and classes to the community.
Please describe skills and experience which could
be useful in our efforts.
3.
Please
give the names, addresses, email addresses, and phone numbers of three
references and their relationship to you.
4.
How
did you hear about Wormfarm Institute?
5.
Have you done other residencies? If so, please list name, location, dates.
6.
How would you arrive here?
Our primary residency season runs from May 15 to
October 31. Residencies can be for the entire season
or part of it. We prefer a minimum of two months but
will consider shorter stays. Preference is given to
longer residencies during the primary season. Short
stays are preferred in the winter months.
These
are my preferred dates:
1st
choice
From: _______________________ To: ________________________
2nd
choice
From: _______________________ To: ________________________
Signature:
_________________________________ Date: ___________
Return
application with current resume. Please send documentation of your work. (Photocopies, CDs, DVDs, videos and slides are acceptable.) If you would like your samples to be returned, please enclose a self-addressed stamped envelope and send to:
Wormfarm Institute
E7904 Briar Bluff Rd.
Reedsburg, WI 53959
