Creative Access / Artist in Residence Report Form

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Page 1

Information about you







Residency Information: Location
         Location information






          Contact information




Program Description
For this section, please answer the following questions in three to five brief sentences. 






Residency Information: Statistics











Page 2

Publicity
For this section, please answer the following questions in three to five brief sentences. 

You can upload any scans of newspaper clippings, images, programs, invitations etc. below in the uploads section along with any photo release forms and the required images. 
Evaluation
For this section, please answer the following questions in three to five brief sentences. 





Learning outcomes
Please articulate and evaluate 3 different aspects of your residency in the following section.  
 



 



 



Actual Budget
This budget page should reflect actual income and expenses for the project
Expenses: 




 
Income: 
List cash and / or in-kind donations that were used for the program expenses. 






Uploads
You are required to upload 3 pictures of the project, as well as a scan of any photo release forms for any participants whose faces are visible.  If you submit a picture without faces visible, you may upload a blank copy of a photo release form.  There must be a photo release form with each picture.

You must do this at the same time  you submit your report, and only in this format.  No other channels for photos or releases will be accepted.  If you have issues or questions about this - please contact us

This requirement must be met in order to process your submission for payment. 
First Picture and Release Form


Second Picture and Release Form


Third Picture and Release Form