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ZEN AIR EIHEIJI FY2024 - Artist in Residence Application Form
ZEN AIR EIHEIJI FY2024 Application Form ※This application form is same as those of on the ZEN AIR official website.
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*
must be completed. Please be sure to fill them out.
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【1】
Courses
*
Courses
Production Course
Research Course
【2】
Desired Residence Period: Start Date (Your 1st Choice)
*
Minimum 60 days to maximum 90 days between August 26, 2024 (Mon) and November 28, 2024 (Thu)
(Date between 2024/08/26 and 2024/11/28) Example:2024/01/01、2024/1/1
【3】
Desired Residence Period: End Date (Your 1st Choice）
*
Minimum 60 days to maximum 90 days between August 26, 2024 (Mon) and November 28, 2024 (Thu)
(Date between 2024/08/26 and 2024/11/28) Example:2024/01/01、2024/1/1
【4】
Desired Residence Period: Start Date (Your 2nd Choice)
*
Minimum 60 days to maximum 90 days between August 26, 2024 (Mon) and November 28, 2024 (Thu)
(Date between 2024/08/26 and 2024/11/28) Example:2024/01/01、2024/1/1
【5】
Desired Residence Period: End Date (Your 2nd Choice)
*
Minimum 60 days to maximum 90 days between August 26, 2024 (Mon) and November 28, 2024 (Thu)
(Date between 2024/08/26 and 2024/11/28) Example:2024/01/01、2024/1/1
【6】
Last Name (as written on license or passport)
*
(200 characters or less)
【7】
First Name (as written on license or passport)
*
(200 characters or less)
【8】
Pen Name/Artist Name
*
(200 characters or less)
【9】
Nationality
*
(200 characters or less)
【10】
Date of Birth
*
Only those 20 years and above as of July 10th 2024 are eligible to apply.
Example:2024/01/01、2024/1/1
（ 2024/07/10現在
？
歳 ）
【11】
Post code
*
(200 characters or less)
【12】
Address
*
(300 characters or less)
【13】
Phone Number
*
(Hyphen separated) Example:012-345-6789
【14】
Mail Address
*
Please enter your email address again for confirmation.
@
【15】
Web Address
(200 characters or less)
【16】
Occupation
*
(200 characters or less)
【17】
Language Level (Japanese)
*
Language Level (Japanese)
Native
Advanced
Intermediate
Beginner
【18】
Language Level (English)
*
Language Level (English)
Native
Advanced
Intermediate
Beginner
【19】
Field of Focus
*
(Select up to 4)
Field of Focus
Art
Curation
Research
Other
【20】
Details of Your Field of Focus
*
(200 characters or less)
【21】
Please Attach the Application Form (PDF, up to 10MB)
*
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(Maximum upload size: 10MB)
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Contact Information
Department Name
ZEN AIR EIHEIJI Secretariat (Culture Division, Fukui Prefectural Government)
Phone Number
0776－20－0582
Email Address
info@zen-air.org
Fukui Prefecture Electronic Application Service