Application Form Keyholder Residency Application Form Press tab to navigate between fields, and do not press return until you're ready to submit the form. All files should be less than 2MB, otherwise the form will not be submitted online. Application Checklist Up to 8 images of recent work. Images should be JPEG format, longest dimension maximum 1,000 pixels, 72 dpi, RGB color mode. Title each image as "Last name_First name_#" ( for ex. Smith_Pat_01.jpg). Image list: your name, work title, year, medium, and dimensions (PDF Format). Title your image list as "Last name_First name_Imagelist” (for ex. Smith_Pat_Imagelist.pdf). Artistic resume (PDF Format). Title your resume as "Last name_First name_Resume” (for ex. Smith_Pat_Resume.pdf). Your Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email Please provide a brief artistic statement*(Limit your response to 1,000 characters, including spaces)How did you learn about the Keyholder Residency?*Listing (Publication/Website)Lower East Side PrintshopNYFAOtherOther*Do you have printmaking experience?*A lotA littleNoneWill you have access to a studio space (other than the Printshop's) during the residency period?*YesNoIf awarded the residency, briefly describe how access to printmaking facilities would affect the progress of your work in the coming year:*Please attach your Artistic Resume (PDF)*Accepted file types: pdf.Title your resume as "Last name_First name_Resume” (for ex. Smith_Pat_Resume.pdf).Please provide name and contact information for two professional references below:Reference #1*Reference #2*Image UploadPlease attach up to 8 images of recent work. Images should be JPG format, longest dimension maximum 1,000 pixels, RGB color mode. Title each image as "Last name_First name_#" (eg. Smith_Pat_01.jpg). Maximum image size is 2MB.Image File 1Accepted file types: jpg, jpeg, gif, png, pdf.Image File 2Accepted file types: jpg, jpeg, gif, png, pdf.Image File 3Accepted file types: jpg, jpeg, gif, png, pdf.Image File 4Accepted file types: jpg, jpeg, gif, png, pdf.Image File 5Accepted file types: jpg, jpeg, gif, png, pdf.Image File 6Accepted file types: jpg, jpeg, gif, png, pdf.Image File 7Accepted file types: jpg, jpeg, gif, png, pdf.Image File 8Accepted file types: jpg, jpeg, gif, png, pdf.Please attach an image list of your submitted work (PDF)*Accepted file types: pdf.Please include your name, work title, year, medium, and dimensions in your image list. Title your image list as "Last name_First name_Imagelist” (for ex. Smith_Pat_Imagelist.pdfOptional InformationThe following information is collected for statistical and reporting purposes to the PrintShop's funders only; it will not affect your application, and it is optional. EthnicityCaucasianAfrican AmericanAsian/Pacific IslanderHispanicNative AmericanNationalityChoose NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweGenderMaleFemaleNon-binaryPrefer Not to AnswerOther** If other (gender), please specify:Pronounhe/himshe/herthey/themDate of Birth CommentsThis field is for validation purposes and should be left unchanged. 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