APPLICATIONFOR WORK RESIDENCY APPLICATION FORM Main applicant / Company / Artist Name Contact person and application manager Fornavn Etternavn Email Phone (###) ### #### Address Adresse 1 Adresse 2 Poststed Delstat/provins Postnummer Land How many people will you be? Approximate number of persons as well as name and function Brief presentation of the project What facilities do you need at Samvirket? Stage room Sound studio Bathroom with a shower Does the project have financial support for the residency? Yes No (Please contact us if you require a letter of intent) Partly When do you want to stay here? Several options are great - please write in order of priority Anything else we need to know? Technical needs/wants, other needs/wants Link to website or other work http:// Thank you for your interest. We’ll be in touch!
