Wildacres Retreat

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Wildacres Residency Program Application


Today's Date:
Name:
Email:
Street:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
How did you hear about the Wildacres Residency Program?

Have you previously participated in a residency program?	Yes No
If so, please describe where and when.
The residency program will begin in May and continue through October with one-week sessions beginning on Mondays and ending on Sundays. Please indicate four dates you could be a resident at Wildacres. List in order of preference starting with your first choice:
First Choice:
Second Choice:
Third Choice
Fourth Choice
Please give a brief description about who you are and about your work and interests.
What specific project would you be working on at Wildacres?
Why do you feel that spending a week at Wildacres would assist and benefit you in the progress or completion of this project?

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