2018 GANA Foundation for Arts and Culture Residency Program Application NO. (Do not fill this place) 1. DISCIPLINE (Please check ☑ the item) DISCIPLINE ▶ PLACE What? (e.g. sculpture, painting Poetry, etc.) ☐ Jangheung (South Korea) ☐ PARIS (France) (☐1 year / ☐3 Month) 2. CONTACT INFORMATION PHOTO Name [ ☐M ☐F ] Date of Birth Nationality Address Contact Cell Phone Email Phone Website 3. BACKGROUND INFORMATION Occupati on Educatio n Graduate Name Major degree awarded? ☐yes ☐no Universi ty Name Major degree awarded? ☐yes ☐no other Major Career year Detail I hereby confirm that the above is true. Date Applicant Signature ※ Application Enclosure Checklist [Application, Self-introduction, Activity plan, Current Resumé, Portfolio, A letter of recommendation (applicable) ] 2018 GANA Foundation for Arts and Culture 110-848 34, Pyeongchang 30-gil, Jongno-gu, Seoul, Korea TEL.+82-2-2075-4488 www.ganafoundation.kr