General Information
First name
Surname
Postal Address
City
State/Province
Postal Code/Zip
Country
E-mail
Phone
(country code-area code-phone number)
Birth date
Year
Month
Day
Gender Female Male
Category
(playwright, novel, composer, poet, etc)

Motivation: Give a brief statement of why you would like to do an artist residency at Art Farm.
Project: Give a brief description of your intended project/s at Art Farm.
Contribution: Part of your residency at Art Farm is helping renovate buildings, maintain grounds,
create publications; create objects for fund raising, etc. for 12 hours a week. Summarize your skills
and experiences, which you think could best aid in running Art Farm.
Examples:

Please send your examples by separate email to, af@artfarmnebraska.org. Make sure the names of the files you send match the file names in this form. MS Word Files in DOC, DOCX, or RTF format is preferred.

If it is nonfiction: 3 essays or articles
If it is a novel: 20-25 pages, or a chapter
If it is short story: up to 10 pages, or the whole story
If it is poetry: 6-10 poems
if it is a play: a section of dialogue or an act
if it is music: 3-5 minutes of composition
You may mix any of the above when applying

These are not hard, fixed numbers, only suggestions of how much to submit. Send examples that best represent your work with enough material to judge the voice, style, story, and narrative drive of your writing. If you write in a non-English language, please include an English translation of your examples.
Website:

If you have a website and wish to submit examples from it, paste the URL for each item in the URL box.
  Category
  File name
Title
Year
URL
Optional Remarks
  Category
  File name
Title
Year
URL
Optional Remarks
  Category
  File name
Title
Year
URL
Optional Remarks
  Category
  File name
Title
Year
URL
Optional Remarks
Curriculum Vitae: If your curriculum vita has special formatting that you wish to preserve, send it as an email attachment along with your image files. You may also provide a link to your CV if it is on a website.
File name
URL
References: Please fill in contact information for two references from within your discipline area and one reference from outside your discipline. Be sure the e-mail accounts you give for your references are functioning. Applicants outside the United States please send written references along with your application (you may send them along with your image files or copy and paste into the "foreign reference" box.)
Reference1 Name
Address
City
State/Province Postal Code/Zip
Phone extensionhomeofficestudio
E-mail
If you are a writer outside of the United States send a written reference with your application. Foreign reference
Reference2 Name
Address
City
State/Province Postal Code/Zip
Phone extensionhomeofficestudio
E-mail
If you are a writer outside of the United States send a written reference with your application. Foreign reference
Reference3 Name
Address
City
State/Province Postal Code/Zip
Phone extensionhomeofficestudio
E-mail
If you are a writer outside of the United States send a written reference with your application. Foreign reference
Survey:  
How did you hear of Art Farm?
  
Highest educational degree  
Do you need an assistant?   Yes No Possibly
Ethnicity / Nationality  
Residency Dates: Indicate your preferred dates of residency and then an alternative set of dates between June 1 and November 1.
Preferred Dates:
From (day): to (day):
Alternative Dates:
From (day): to (day):
Application Fee:

Select the appropriate box to indicate how your fee was paid.
PayPal Cash Check Money Order Other

After you click the ’Submit’ button, another page will open listing your application entries. To pay the applicatiion fee of 20 (US dollars) with PayPal, click on the “To PayPal payment” link at the bottom of the page, which will open the PayPal secure payment page; follow instructions from there. If you have chosen to pay your application fee by another method, simply close the page or click on the Art Farm link for returning to this form. If paying by check or other, pay to, Art Farm and mail to this address: 1306 West 21 Road, Marquette, NE 68854-2112. Thank you for taking the time to apply for an Art Farm residency.
 INTERNATIONAL APPLICANTS: if you have difficulty with currency exchange, send an email describing the problem.


We will communicate with you about your Art Farm artist residency application via e-mail in the future. Be sure the e-mail address you give is functioning and is one that you check regularly.

2012 Writers Residency Online Application Form and for playwrights, composers, musicians, etc.

Art Farm's artist residency season is from June 1 to November 1. Applications will be considered after the deadline if there are vacancies. Please e-mail, af@artfarmnebraska.org to check.
DEADLINE
to apply for an Art Farm writer residency in 2012 between June 1and November 1
March 1, 2012

Make sure your 'Cookies' are on. The form will not upload if they are off.
 There is a $20.00 application fee, (in US dollars) payable to Art Farm as cash, check, money order, or by PayPal.
 If you have questions or problems with this form send an email to, af@artfarmnebraska.org

As a member of the Alliance of Artists Communities, we encourage all applicants to fill out a brief survey. Click Here or There (on the right image) to go to this survey. The survey is completely anonymous and is for statistical analysis only and will not be connected to your application in any way.

2012 writers residency application form
As a member of the Alliance of Artists Communities, we ask and encourage all applicants to fill out a brief survey. You can get to this survey by clicking Here. The survey is completely anonymous and is for statistical analysis only and will not be connected to your application in any way.