MiXER 2016 ONLINE  APPLICATION


Thank you for your interest in joining this cross-disciplinary collaboration project.

PLEASE FILL IN THE FOLLOWING ONLINE FORM TO HAVE YOUR APPLICATION CONSIDERED.

! if experiencing troubles submitting the online form – download this word file – MiXER 2016 APPLICATION


use English language  your personal information will only be used by D’CLINIC for internal use and to keep you informed of our activities  before submiting your Application Form, make sure it has been completed in full and is accompanied by work samples and/or relevant links if your application is not complete or in compliance with these conditions, we regret that we cannot consider your proposal







PERSONAL INFORMATION

First name:

Last name :

Address:

ZIP Code:

City:

State:

Country:

Phone / Mobile No.:

Your eMail:

Date of birth:

Nationality:

Gender:

Language skills:

Current occupation:



WORK INFORMATION

INDICATE YOUR ARTISTIC DISCIPLINE

VISUAL ART PERFORMING ART LITERARY ART MULTI-DISCIPLINARY 

SPECIFY : give us a short description of your practice. (i.e. what medium/media do you work in and what methods do you usually use?)



WORK SAMPLES

If samples of your work can be viewed online, please clearly indicate the relevant links / you can include multiple URL addresses. *if you don’t have a personal website, nor published work at any other web portal, please send samples of your work to dclinicstudios@gmail.com / 5-10 examples / only works completed in the past 3 years will be considered.



WORK PERIOD

MiXER Collaborative Residency is offered at a pre-set schedule only. See list below. Please mark your preferred residency date. You can also chose the option FLEXIBLE assuming you are available anytime:

Include comments regarding your availability, if any:



MiXER BAROMETER

MiXER is a cross-disciplinary collaboration programme; upon selection you will be paired with another artist to work together during the residency period. This question is part of our “match-making” method and will help us to select the most suitable working partner for you. To do that, please answer spontaneously, without dithering too long.

INDICATE 10 ASSOCIATIONS (10 words) THAT COME TO YOU MIND WITH THE PHRASE:

WALKING FISH

01
02
03
04
05
06
07
08
09
10



I am familiar with the residency fee

captcha


JOIN
FOLLOW
INTERACT

FACEBOOK
INSTAGRAM
TUMBRL.
TWITTER
VIMEO
SUBSCRIBE
CONTACT US

NEWSFLASH >>
13/JAN/2017
OUR RESIDENCY SPACE AS WELL AS THIS WEBPAGE ARE ABOUT TO BE RENEWED; For more info and latest updates on open calls and other adventures follow us on facebook and/or instagram
CURRENTLY WITH US >>
will be back April, 2018



D’CLINIC IS A
PARTNER PLATFORM FOR : :