Montana Artists Refuge -- Residency Application

Montana Artists Refuge
Residency Application

Please print out this form and mail with the following:

Before you complete this application, read the information provided at this site: About the Refuge, Residency Program, Residency Facilities, New Resident Information, and Financial Aid. Follow the instructions carefully and include all requested items. Failure to follow instructions will disqualify the applicant. These are the materials you will need to complete this application:

1. This application form.

2. Three copies of a current resume.

3. Work sample (as follows):

Ten (10) slides of work (35 mm transparancy in a 2"x2" mount), labeled with your name, the work's title, date executed, dimensions, and media. Include a separate description sheet listing each slide and title of work, date executed, dimensions, and media.
Typescripts. Three (3) copies of each of not more than 15 pages of poems, excerpts from short stories, novels, plays, or film scripts. Include your name, title of work, date executed, and publisher (if any).
Music. Two scores and an audio cassette of one, labeled with your name, title, and date of execution.

4. A postage-paid envelope big enough to return the work samples.

5. A postage-paid postcard to acknowledge receipt of your application.

Residencies are open to all artists. The Montana Artists Refuge does not discriminate on the basis of gender, race, national origin, religion, age, or sexual orientation. Applications will be accepted for residencies from 1 - 12 months in length. If you have questions, please call (406) 225-3500.

PLEASE TYPE OR PRINT CLEARLY

Name: _________________________________________________________________

Address: _______________________________________________________________

City: ________________________________________ State: _____ Zip: ____________

Country/Postal Code: __________________________

Telephone (day and evening, if different):

____________________________________________________________________

Applications are accepted for residencies from 1 - 12 months in length. Indicate your first and second choices:

Residency length: ____ 1 mo. / ____2 mo. / ____3 mo. / ____6 mo. / ____1 yr. / ____Other:_______________

Year: _____2001 / _____2002 / _____2003

Month(s): ____Jan / ____Feb / ____Mar / ____Apr / ____May / ____June

____July / ____Aug / ____Sept / ____Oct / ____Nov / ____Dec

Statement of Intent. What do you want to accomplish at the Refuge?

_________________________________________________________________________________________

How is this residency important to your work?

_________________________________________________________________________________________

What materials will you be using?

_________________________________________________________________________________________

Financial Assistance. Scholarships and other financial aid (up to one-half residency rent costs) are available for artists of exceptional promise and/or talent with verifiable financial need. I would like to apply for:

____ Winter at the Refuge (January, February, March)
____ Carol Davis Scholarship
____ American Indian Scholarship
____ Other aid. Amount needed: $_______________ per month.

2. Statement of personal finances:

_________________________________________________________________________________________

3. Explain why you would be a worthy recipient:

_________________________________________________________________________________________

SIGNATURE OF APPLICANT: _____________________________________________

DATE: ___________________________

MAIL YOUR COMPLETED APPLICATION TO:

Montana Artists Refuge
P.O. Box 8
Basin, Montana 59631

The Montana Artists Refuge is a nonprofit 501(c)(3) organization.