PICTURE BERLIN Sessions — 2021 Application

PICTURE BERLIN APPLICATION FORM 2021

REIMAGINING WANDERS & MASH-UP
Rolling Deadline
APPLICATION FEE: €15

Payment button can be found at the end of the application.

PROGRAM FEE: €1,789
I am applying for: *
Please confirm that you understand that PICTURE BERLIN charges a program fee for participating artists. *

Yes, I understand that PICTURE BERLIN charges a program fee.
Your Name *

First Name Last Name
Preferred Name

First Name Last Name
Preferred pronoun *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Date of Birth *

Month Day Year
Age *
Nationality *
English is the program language. Aside from English, what other languages do you speak? *
Have you been to Berlin before? If yes, when and for how long? *
Website *
Social Media *
@pictureberlin
(1 of 5 pages) If you want to save your form - hit the Next button!

APPLICATION for PICTURE BERLIN 2021

page 2
Dietary needs? Please be specific. *
Do you drink alcohol? *

Yes No Socially
Do you have physical limitations?* If so, please tell us what they are. *PICTURE BERLIN includes significant walking during the program. *
Do you have any other needs that we should know about? *
How did you hear about PICTURE BERLIN? Please be specific: Facebook, word of mouth (who?), flyer (where?), site (which one?) *
(2 of 5 pages) If you want to save your form - hit the Next button!

APPLICATION for PICTURE BERLIN 2021

page 3
REFERENCES

Please include the names of 2 professional references. Please let your references know that we might contact them.
Reference 1 *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Where did you meet this reference and how long have you known them? *
Reference 2 *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Where did you meet this reference and how long have you known them? *
(4 of 5 pages) If you want to save your form - hit the Next button!

APPLICATION for PICTURE BERLIN 2021

page 4
Please upload a ONE page resumé. (We will only look at the first page.) *

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If you could visit with your favourite artist, writer, or curator in your kitchen: Who would that be? What would you offer them? What would you talk about and why? *

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Please create a drawing of a map from your home to your favorite spot in the city you live in. *

Browse Files

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(3 of 5 pages) If you want to save your form - hit the Next button!

APPLICATION for PICTURE BERLIN 2021

page 5 (Don't forget to submit your application after you finish this page.)
IMAGES

Please upload 7 image files or 2 writing samples (each image or writing sample should NOT BE MORE than 3MB) of your most recent work and include the title, year of production, medium, and dimensions of the work or where it was published, if relevant. Please title your files like this: hannahhoech_PB21_1.jpg Your submission could be refused if your files are not titled in this manner.
Image 1 or Writing Sample 1 *
Image 1 or Writing Sample 1 *
VIdeo link
Image or Writing Sample 2 *
Image 2 or Writing Sample 2 *
Video Link
Image 3 *
Image 3 *
Video Link
Image 4 *
Image 4 *
Video Link
Image 5 *
Image 5 *
Image 6 *
Image 6 *
Image 7 *
Image 7 *
(5 of 5) Submit your form (Please make a copy of this form for your records before you hit the submit payment button.)
Application Fee *
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Application Fee € 15.00 EUR
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PICTURE BERLIN APPLICATION FORM 2021