Artist-in-Residence Application Artist-in-Residence Application Name* First Middle Initial Last Date* MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Temporary Address (if applicable)Main Phone*Secondary Phone (if applicable)Email* Residence DatesPlease select your top three choices for residency dates.Requested Residence Dates - First Choice*June 3 - June 15June 17 - June 29July 1 - July 13July 15 - July 27July 29 - August 10August 12 - August 24August 26 - September 7September 9 - September 21September 23 - October 5Requested Residence Dates - Second Choice*June 3 - June 15June 17 - June 29July 1 - July 13July 15 - July 27July 29 - August 10August 12 - August 24August 26 - September 7September 9 - September 21September 23 - October 5Requested Residence Dates - Third Choice*June 3 - June 15June 17 - June 29July 1 - July 13July 15 - July 27July 29 - August 10August 12 - August 24August 26 - September 7September 9 - September 21September 23 - October 5Public PresentationThe artist is required to provide one public presentation (workshop, lecture, reading, demonstration, etc.) during the residency. Please outline your presentation below. Public Presentation Outline*ReferencesPlease provide contact information for two references. Reference #1 Name* First Last Reference #1 Phone*Reference #1 Email* Reference #2 Name* First Last Reference #2 Phone*Reference #2 Email* AttachmentsPlease upload a cover letter, resume (no more than 2 pages), and any appropriate samples. Please note: if your submission is in a format other than pdf or jpg, or if you wish to send additional samples, they can be sent to artistinresidence@test42.mlivehosted.com. Do not send more than five images. Cover Letter & Resume Drop files here or Select files Accepted file types: pdf, Max. file size: 768 MB. Please upload documents in PDF format. Artist Samples Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 768 MB. Please upload attachments as jpg or pdf. Maximum upload size is 8MB. To send additional samples (up to 5 images TOTAL), or for composers, send your examples to artistinresidence@mackinacparks.com.Will you be sending additional sample materials to artistinresidence@mackinacparks.com?* Yes No Application FeeUpon hitting 'Submit' below your application will be sent to Mackinac State Historic Parks. A non-refundable $25 application fee is required for an application to be complete. You will have the option to pay via credit card on the next page. Checks must be received by January 10, 2025 for applications to be considered. Mail checks to: Mackinac State Historic Parks Attn: Artist-in-Residence Program PO Box 873 Mackinaw City, MI 49701
