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AIR – Bellagio Center 2018 Application Form

By Wanjiru Koinange / 2 August 2018

AIR - Bellagio Center 2018 Application Form

Rockefeller Foundation Application Form - 2018

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APPLICATION DEADLINE: 15 October 2018.
Please carefully read through the Bellagio Center Application Guide for more details about this Residency opportunity and ensure that you are eligible before you apply. Fields marked with an asterisk* are mandatory.
APPLICANT INFORMATION
Fields marked with an asterisk* are mandatory
First/Given Name:*
Middle Name/Initial:
Surname:*
Suffix
Select Related Discipline*
- Composer
- Interdisciplinary Artist
- Literary Artist: Fiction
- Literary Artist: Non-Fiction
- Playwright
- Poet
- Video/Filmaker
- Visual Artst
- Performance Artist
- Dancer
- Musician
- Architect
- Other
You may only select one
Are you applying as an individual or as a collaborative team?*
- Individual
- Collaborative Team
Please enter the names of your team members*
Please separate each team member by a comma. Maximum: two team members. Both members of the collaborative team must submit an application.
Your Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email Address*
Enter Email Confirm Email
4. Business/Institution Affiliation:
Organization:
Position/Title:
Mobile number*

Be sure to add the country code. e.g +27 082 555 5555
Reconfirm mobile number*

Please re-enter your mobile number. Please make sure to add the country code. e.g +27 082 555 5555
Date of Birth*
MM slash DD slash YYYY
7. Gender*
8. Citizenship:*
How did you hear about us?*
Please indicate which site
Please indicate which organisation mailed you the information
Please indicate from whom you received an invitation
Please indicate where you saw the notice
Please indicate the name of the scout
Please indicate how you found out.
Spouse /Life Partner
Will your spouse / life partner will accompany you?*
Prefix*
First/Given Name:*
Middle Name:
Surname:*
Email:*
Citizenship*
Gender*
Preferred Residency Start Dates
Residency Start Date:*
YYYY dash MM dash DD

Please select a start date that is within or after October 2019.
Alternate Residency Start Date:*
MM slash DD slash YYYY

Alternate date must be at least 30 days before or after preferred date
Have you ever been a resident at the Bellagio Center?*
Former residents (and spouses / partners who accompany them) must wait 5 years from the time they were in residency at the Center before reapplying. You can only be a resident fellow twice in a lifetime. Successful second time applicants must demonstrate significant professional acdhievement and/or advacement since their first residency.
Please specify the year of your previous residency and provide a brief statement describing what was accomplished during the residency, and how you have since advanced the same body of work and/or embarked on new work demonstrating significant professional achievement. (500 words)
PROPOSED RESIDENCY PROJECT
All residents at the Rockefeller Foundation Bellagio Center have an independent project that is the focal point of their 4-week residency. Your answers in this section will help reviewers evaluate goals, outputs, audience, and potential influence of the project you would conduct at Bellagio if offered a residency. Note: We recognize that residents frequently work on a specific phase or component piece of a larger project during a residency.
Title of Project:*

This title will be saved as part of the official record of your application and may be up to 30 words in length
Provide a summary statement that explains its main objectives, the intention, scope and impact, whether it builds off past work or represents a departure, and its importance to the advancement of your field.*
300 words
Who is the target audience and what kind of reach (local, regional international) do you expect it to have? Please also describe that audiences, if any, beyond your immediate network, that you hope will inform and influence your work.*
250 words
How will the outputs of your project be disseminated to the target audiences above?*
250 words
SUITABILITY OF THE PROJECT FOR THE ROCKEFELLER FOUNDATION BELLAGIO CENTER
The Rockefeller Foundation Bellagio Center must be an appropriate venue for the proposed project. Your answers in this section will help reviewers understand the suitability of the work you would conduct during a residency at the Bellagio Center and its intended end result. Note: They are modest artist studios on site, not suited to large-scale production, and frequent excursions off the grounds are not allowed.
What specific phase and components of the project would you work on during a 4-week residency at The Rockefeller Foundation Bellagio Center?*
150 words
What do you anticipate having completed by the end of a 4-week residency*
- Book Chapter
- Early stage development of a new artwork
- Edited film or script
- Final production of a new artwork
- Musical Composition
- Play/Act
- Poem(s)
- Translation
- Other
Please check all that apply.
Please specify 'other'
The Center has a strong interest in proposals that align with the Rockefeller Foundation's efforts to promote the wellbeing of humanity, particularly through issues or topics that have a direct impact on the lives of poor and vulnerable populations around the world. These topics include but are not limited to health, economic opportunity, urban resilience, as well as food and agriculture. Please select the topic that most closely aligns with your project, or select not aligned.*
- Health
- Economic Opportunity
- Cities
- Science and Technology
- Innovative Finance
- Food and Agriculture
- Not aligned
Please select the global region that is most relevant to your work:

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APPLICANT BACKGROUND
Applicants are evaluated based on their professional qualifications and general suitability for the unique experience of a residency at The Rockefeller Foundation Bellagio Center. Your answers in this section will help reviewers evaluate why this residency would be valuable to you in the context of your overall career trajectory, the influence and impact of your body of work, and what you would contribute to the Bellagio program.
Describe the influence and impact of your work over the course of your career to date*
250 words
How would the Bellagio Residency contribute to advancing your proposed project in the context of your overall career trajectory. Please speak to why you are applying for a residency at the Bellagio Center as opposed to another residency opportunity.*
250 words.

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E. SUPPORTING DOCUMENTS
All applicants are required to accompany their application with the following supporting documents in addition to this application form:
Upload your CV and Biography and an optional Artist Statement*
Drop files here or

Max. file size: 64 MB.
All disciplines
Upload Written Work and Image Samples
Drop files here or

Max. file size: 64 MB.
For Visual and Literary Artists
Provide links to video samples

For Video/Filmmaker and Interdisciplinary artists.
Upload Audio Samples
Drop files here or

Max. file size: 64 MB.
For Composers and Musicians
Published Reviews (optional but highly recommended):
Drop files here or

Max. file size: 64 MB.
Upload Project Plan/Outline*
Max. file size: 64 MB.
Artists may include a chapter, section, draft or brief outline of a project, book, or publication that they propose to work on at the Bellagio Center.

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