Flavia Cosma Poems

The Writers' and Artists' Residence Val David, Quebec

1045 Rue du Renard et du Corbeau
Val David, Quebec, J0T 2N0
Canada
Info: Flavia Cosma
Email:

www.flaviacosma.com

Residency application form
The Writers' and Artists' Residence Val David, Quebec
The Writers' and Artists' Residence Val David requires artists and writers to complete the form bellow:

Personal Data
Name:

Address:

E-mail:

Telephone:

Professional Data
Professional activity:

University, Organization, Institute:

Address:

Country:

Telephone:

Field(s) of Art
Medium:

Specify:

Residency at IWAR-Val David
What are you intending to achieve on this residency if accepted?

Short description of the proposed project (500 words maximum)

Curriculum Vitae

Have you been accepted on other residency? If so, where and when?

Enter your website address if your work is available on the Internet.

What dates are you interested in (please give first and second choices)?

Do you have any special requirements?

Any extra relevant information?

Or send by mail to: Flavia Cosma (The Writers' and Artists' Residence)
1045 Rue du Renard et du Corbeau
Val David, Quebec, J0T 2N0
Canada
Info: Flavia Cosma
Email: