The Artist Protection Fund Application

IMPORTANT: Please note that you cannot save your application material, you must complete your application in one session.

This is PART ONE of your application. Once completed you will be redirected to PART TWO.

Applicant

If you are submitting on behalf of the applicant:

Your full name

Position

E-mail address

Artist Information

Title

First (given) name

Middle name

Last (family) name

Full name as it appears on your passport

Gender

Date of birth (Month/ Day/Year Ex: 08/24/1987) Please use calendar drop down for accuracy

Format: mm/dd/yyyy

E-mail address

Secondary e-mail address, if applicable

Nationality & Citizenship

Question Text

Nationality

Country or Countries of Citizenship

Do you currently have legal status in any other country? If yes, please explain

Do you have a passport?

When does your passport expire? (Month/Date/Year Ex: 02/25/2017) Please use calendar drop down for accuracy

Format: mm/dd/yyyy

What is your present location? Please provide the city and country.

If not in your home country, when did you leave your home country? Please give Month/Year (Ex: October/2015)

If not in your home country, please indicate your current immigration status in your place of residence and when it will expire.

What is your native language?

What other languages do you speak? Please list each language and indicate your skill level (basic, intermediate, advanced, fluent).

Please describe any considerations that might restrict your ability or willingness to accept a fellowship within your home region. These may include security concerns, a medical condition, inadequate facilities, or other concerns.

Dependents

Please list the names of any dependents, if applicable (in most countries, legal dependents are defined as one’s spouse and children) who would accompany you on a fellowship, if awarded.

PLEASE NOTE that immigration laws in many countries may prevent you from bringing adults over the age of 21 on a dependent visa.

Dependent #1

1. Name 2. Date of Birth 3. Relationship 4. Date of Passport Expiration

Dependent #2

1. Name 2. Date of Birth 3. Relationship 4. Date of Passport Expiration

Dependent #3

1. Name 2. Date of Birth 3. Relationship 4. Date of Passport Expiration

Dependent #4

Professional Information

What is your artistic discipline/practice?

Please provide a list of recent exhibitions, performances, productions, publications, etc.

Artist Statement

Please provide a summary of your Artist Statement (maximum 500 words)

Character limit: 1500.

Personal Statement

Please provide a brief Personal Statement explaining why you are applying to the APF for support. Include a clear account of the threats or risks that you have been facing (maximum 500 words).

Character limit: 1500.

Employment

Please provide information about your current / most recent employer.

Place of employment

Your job title

Dates of employment (Month/Year of Start - Month/Year of End date, if any)

Education

If applicable, please list your academic degrees.

Degree #1

Degree #2

Degree #3

Awards

Please list any scholarships, fellowships, grants, and awards that you have received. Please give the name of the award/honor, the awarding institution, and the date received.

Award/Honor

Additional information

Have you applied for other emergency grants, residencies or programs?

How did you hear about the Artist Protection Fund?