Application form - Boghossian Foundation

Firstname*
Name*
Date of birth*
DD slash MM slash YYYY
Nationality
Address*
Street Address City Postcode Country
Phone*
E-mail address*
Website
Social media
How did you find out about the Residency of the Villa Empain ?*
Brief description of the project*
Discipline(s)*
Attachments to be sent to us via a Wetransfer link at residency@boghossianfoundation.be
- Project description
- Biography
- Statement
- Visual material
- List of works