APPLICATION FOR STIPENDS FOR ARTISTS - Vantaa · APPLICATION FOR STIPENDS FOR ARTISTS. Field of art. If you apply for several fields of art, fill in a separate application for each.

APPLICATION FOR STIPENDS FOR ARTISTS

Field of artIf you apply for several fields of art, fill in a separate application for each.

Literature

Visual arts

Music

Theater

Dancing

Textile arts

Architecture

Industrial art

Cinematic art

Photography

Circus

Applicant’s data Last name

First names Identity number

Artist name

Address Post code and post office

Email Tax district

Chief or secondary occupation Value or profession

Tel./work Tel./home

Banking information IBAN

Account of artistic education and stage of studies

Educational institution or corresponding, years, etc.

533039e.pdf (9/16)

City of Vantaa | Leisure and Recreation Committee Cultural Services

Others

Stipend applied for and its purpose

euro

Registry number

Account of artistic activities

Latest and most important works, performances or other artistic activities, years.

Previous stipends

All stipends granted during the past three years.

Granted by euro Year

Potential referees

Compulsory appendices

Date and signature

I assure that the information I have submitted is correct. I pledge to give a free-form account of the stipend I have received by the end of February the following year.

Place and date Signature

Return address Send the applications to

City of Vantaa Registry Education Department/Cultural Services Asematie 7, 01300 Vantaa Tel. 09 8392 2184 Email: [email protected]

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