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PROGRAM OF ARTISTIC RESIDENCIES INSTITUT FRANCAIS APPLICATION FORM FOR FOREIGN CREATORS CITÉ INTERNATIONALE DES ARTS / PARIS Applications must be sent by French Embassy, Institut Français or Alliance Française of the candidate’s country of residence to : citedesarts@institufrancais.com > CANDIDATE (TO BE COMPLETED IN CAPITALS) Mrs Ms Mr ➲ Profession

➲ Last name (official)

➲ First name

➲ Date of birth

Passport-sized photo

…/…/… (dd/mm/yy)) ➲ Nationality

➲ Adress ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………...……………………………………………………………………… Zip Code ………………Town ……………………………… Counry……………………………………

➲ Telephone ……………………………… Mobile ………………………… E-mail ………………………………………………………………………… Web site ………………………………………………………………………

> SUBSIDIES ALREADY OBTAINED (grants, awards, residencies...)

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> CURRENT PROJECTS (shows, exhibitions, éditions, talks,...)

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