Velvetpark Media | Queer Culture in Bloom

Please read FAQs and review Checklist before you begin. You will not be able to change or edit responses once your form is submitted, nor will you be able to save and return to application if left incomplete.

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Discipline *

If "other" is selected please list below:

Discipline (Other) *

Please Specify "Other"

Briefly describe your genera or medium/s

E.g. poetry, oil painting, playwright, graphic novelist, etc ...

Project Proposal *

Please write a 100 - 250 word description of your project that you will work on while on residency.

Project Outline (Optional)

You are welcome to write a project outline or timeline of what you will complete within your 6 month term.

Upload Additional Documentation (Optional)

Click or drag a file to this area to upload.

Upload separate project proposal if integral to your project

Work Samples *

Title of each work, separated by a coma.

File Upload *

Click or drag files to this area to upload. You can upload up to 10 files.

10MB max for total files submitted, Please submit works in a .Pdf document.

Video works only (if applicable)

Submit url to video works

Additional works | published works (optional)

Submit url to include additional works (optional)

Two References

Please provide two reference, complete names with phone number and email. One reference should be professional and the other personal.

Refrence 1, Professional *

Please provide full name, phone #, and Email

Refrence 2, Personal *

Please provide full name, phone #, and Email

Resume / CV *

Click or drag a file to this area to upload.

Please submit your resume/CV as .pdf documents.

Ethnicity / Race *

select all that apply, if you selected "other" below please specify below:

Ethnicity / Race *

Orientation / Identity *

select all that apply, if "other" is selected please specify below:

Orientation / Identity *

Pronouns *

They / Them
She / Her
He / Him
Other

select all that apply

Pronouns *

Agreements

The residency is a six month residency from January - June 2023

Please confirm you have filled all required fields *

Yes

Please triple check your application is complete. Incomplete applications will be discarded.

Please confirm you have read FAQs and Checklist *

Yes

Applicant is responsible for understanding parameters of Velvetpark Residency at Crown Studios. FAQs and Checklist

How did you hear about us? *

How did you hear about us "Other" *

If "other" is selected above please specify!

Application Fee *

Price: $ 25.00

Payment made through PayPal, to complete your application.