Author: Asus

UNIDEE-UNIVERSITA’ DELLE IDEE - via Serralunga 27 – 13900 Biella (Italia) unidee@cittadellarte.it

UNIDEE IN RESIDENCE 2014 / UNESCO ASCHBERG
10th June – 10th October

Please type or write clearly in block capitals.
NAME………………………………………………SURNAME………………………………………………………….
PLACE OF BIRTH……………………………..........…..... DATE OFBIRTH………………………....................….. NATIONALITY……………………………………………………………………………
SEX……................................................................................................................
ADDRESS…………………………………………………………………………………………………………………
TELEPHONE……………………………….....………………..
EMAIL……………..........……….….………………………….. 
SPECIALIZATION/PROFESSION (e.g. curator / product designer).............................................................

I HEREBY APPLY TO BE ADMITTED TO THE UNIDEE IN RESIDENCE INTERNATIONAL PROGRAM
2014

MOTHER TONGUE……………..……… LANGUAGES SPOKEN……........................................................…...
HOBBIES ....................................................................................................................................................
HOW DID YOU HEAR ABOUT THE UNIDEE IN RESIDENCE INTERNATIONAL PROGRAM? _ FORMER RESIDENTS
(PLEASE SPECIFY ...….............................................……………….........…………….....………………………………………...)
_ INTERNET (PLEASE SPECIFY WWW…………………………………………………………..........................…………)
_ PROMOTIONAL MATERIAL
– POSTERS, BROCHURES, POSTCARDS (SPECIFY WHERE …………....…………………………………......…....…)
_ NEWSPAPER OR MAGAZINE ARTICLES (SPECIFY WHICH…………………………………..………...................…..)
_ OTHER (SPECIFY……………………………………………………………………………………….……….....………..…)
DID YOU TAKE PART IN OTHER RESIDENCY PROGRAMS FOR ARTISTS OR
STUDENTS? ...............................................................................................................................................
IF YES, PLEASE SPECIFY
…………………………………………………………………......................................
THE PROJECT:
TITLE……………………………………………………………...............................................................................
SHORT DESCRIPTION...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
OBJECTIVES OF THE PROJECT…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
I HEREBY CONSENT, IN ACCORDANCE WITH ART. 11 OF LAW 675/96 (PROTECTION OF PRIVACY),
TO THE GATHERING, PROCESSING AND DIFFUSION OF PERSONAL DATA SOLELY FOR PURPOSES
RELATING TO THE PUBLIC AND CULTURAL ACTIVITIES OF THE FONDAZIONE PISTOLETTO ONLUS.
DATE