Fulbright Greece - Artist Residency Registration Form

Before your register carefully read all instructions of the Fulbright scholarship program of your choice as announced on the Foundation's website. Complete all required fields using a combination of upper and lower case letters (do not use just one or the other).

Please upload a photo*

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TITLE

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FIRST NAME*

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Following passport/ID

LAST NAME*

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Following passport/ID

DATE OF BIRTH*

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CITY & COUNTRY OF BIRTH*

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COUNTRY OF CITIZENSHIP*

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(if you hold dual citizenship, please specify both)

COUNTRY OF PERMANENT RESIDENCE*

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HOME PHONE

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MOBILE*

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EMAIL ADDRESS*

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FIELD OF STUDY / ART*

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OBTAINED ACADEMIC DEGREES IN HIGHER EDUCATION AND/OR ACADEMIC TRAINING*

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PROFESSIONAL EXPERIENCE*

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(selectively but reflecting a minimum of 5 years of experience in your field)

ARTISTIC AND/OR PERSONAL ACHIEVEMENTS*

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(highlights in your career)

PROPOSED PROJECT TITLE*

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PLEASE DESCRIBE BRIEFLY YOUR PROJECT PROPOSAL *

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(max. 250 words) Explain how your proposal engages with complex social issues, inspires individual transformation, and informs collective action. How does your proposal complement your current artistic practice?

ASSESS THE POSSIBLE IMPACT AND BENEFITS OF YOUR PROJECT IN THE U.S. FOR GREECE*

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DID YOU HAVE ANY ACADEMIC AND/OF PROFESSIONAL EXPERIENCE IN THE U.S. DURING THE LAST 5 YEARS?

DATES

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Location

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Purpose

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Did you visit the United States during the last 12 months?*

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Do you plan to travel to the United States in the next 6 months? *

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HOW DID YOU LEARN ABOUT THE FULBRIGHT ARTIST PROGRAM?*

ACKNOWLEDGEMENT AND ACCEPTANCE*

I have read and understood the selection criteria, eligibility requirements, and Fulbright Greece Terms & Conditions / Privacy Statement. Invalid Input

J1*

I am fully informed about the J1 Visa two-year-home residency requirement and its implications. Invalid Input

CERTIFICATION*

By signing below, I certify that the information provided in this form is true and correct. I also understand that any willful dishonesty may render for rejection of my registration. Invalid Input

Place and Date

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Digital Signature (use your mouse as pen)*

Sign Above

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Captcha*

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SFAI Residency Registration Form

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