Artist-in-Residence Application Form
Toyama Institute of Glass Art [Artist in Residence application]

Please fill in the required items and be sure to attach the necessary documents and phot data.
If the application documents and data are incomplete, it will be considerd invalid.
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Items with a mark of*must be completed. Please be sure to fill them out.
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【1】*
Example: First name  Middle name  Family name
※Half-width alphanumeric

(50 characters or less)
【2】
If your name can be written in Chinese characters, please write.
(Full-width 20 characters or less)
【3】*
Please write your address including postal code and country.
※Half-width alphanumeric

(9999 characters or less)
【4】*
(30 characters or less)
【5】*
※mobile phone e-mail address not allowed
Please enter your email address again for confirmation.
@
【6】*
Entry example：mm/dd/yyyy
                     ：05/10/1995
（Half-width）

(10 characters or less)
【7】*
Gender
【8】*
※Half-width alphanumeric
(500 characters or less)
【9】
※Half-width alphanumeric
(500 characters or less)
【10】
(Hyphen separated) Example:012-345-6789
【11】*
※Half-width alphanumeric
(200 characters or less)
【12】*
(Hyphen separated) Example:012-345-6789
【13】*
Please enter your email address again for confirmation.
@
【14】*
※Please provide a statement of intent outlining the primary concepts, goals and plan of your proposed residency.
※Half-width alphanumeric

(1200 characters or less)
【15】*
※Applicants must outline any potential health hazards  (e.g. fumes,dust,or any other hazardous materials) associated with the techniques to be used during the residency.
※Half-width alphanumeric

(1200 characters or less)
【16】*
【17】*
Hot shop assistant (1 person)
【18】*
【19】*
【20】*
※Half-width alphanumeric
(1800 characters or less)


◆Image attachments
Please attach up to 1 Self-portrait (taken within the last 6 months) and up to 10 images of your work.
The size of the photo should be up to 1200 pixels in height and width.
The attached file should be JPEG format (extension is jpeg or jpg), and up to 2MB per file.
The file title should be "Name (example:John Smith.jpg)" for the self-portrait and "image number_ work title_surname (example:01_the wall_Smith.jpg)" for the work image.
【21】*
face photo taken within the last 6 months
file label : name.jpg
e.g. John Smith.jpg


Image 01
【22】
file label : image number_title_surname
e.g. 01_the wall_Smith.jpg


【23】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【24】
The work of image 01 was designed by applicant.
【25】
The work of image 01 was produced by applicant.
Image02
【26】
file label : image number_title_surname
e.g. 02_the wall_Smith.jpg


【27】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【28】
The work of image 02 was designed by applicant.
【29】
The work of image 02 was produced by applicant.
Image03
【30】
file label : image number_title_surname
e.g. 03_the wall_Smith.jpg


【31】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【32】
The work of image 03 was designed by applicant.
【33】
The work of image 03 was produced by applicant.
Image04
【34】
file label : image number_title_surname
e.g. 04_the wall_Smith.jpg


【35】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【36】
The work of image 04 was designed by applicant.
【37】
The work of image 04 was produced by applicant.
Image05
【38】
file label : image number_title_surname
e.g. 05_the wall_Smith.jpg


【39】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【40】
The work of image 05 was designed by applicant.
【41】
The work of image 05 was produced by applicant.
Image06
【42】
file label : image number_title_surname
e.g. 06_the wall_Smith.jpg


【43】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【44】
The work of image 06 was designed by applicant.
【45】
The work of image 06 was produced by applicant.
Image07
【46】
file label : image number_title_surname
e.g. 07_the wall_Smith.jpg


【47】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【48】
The work of image 07 was designed by applicant.
【49】
The work of image 07 was produced by applicant.
Image08
【50】
file label : image number_title_surname
e.g. 08_the wall_Smith.jpg


【51】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【52】
The work of image 08 was designed by applicant.
【53】
The work of image 08 was produced by applicant.
Image 09
【54】
file label : image number_title_surname
e.g. 09_the wall_Smith.jpg


【55】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【56】
The work of image 09 was designed by applicant.
【57】
The work of image 09 was produced by applicant.
Image 10
【58】
file label : image number_title_surname
e.g. 09_the wall_Smith.jpg


【59】
title/dimension/technique/production year
e.g. the wall/H650×W680mm/cold work/2020

(200 characters or less)
【60】
The work of image 10 was designed by applicant.
【61】
The work of image 10 was produced by applicant.
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Contact Information
Department Name Toyama Institute of Glass Art　(Artist in Resedence)
Phone Number 81-76-436-2973
Email Address tigainfo@toyamaglass.ac.jp
Toyama Prefecture and Municipalities Electronic Application Service