499 Alabama Street, San Francisco,
CA 94110 * phone 415.621.4240 * fax 415.621.3824
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Please send your completed application and three self addressed stamped postcards You may also drop off your application during office hours.
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Project Artaud Membership Application
DATE of application: ____________________
Name(s) :________________________________________________
________________________________________________________
Street Address____________________________________________
State___________ Zip________________
Phone – Type: (home / work / studio / cell) Area code:________Number:________________
Type: (home / work / studio / cell) Area code:________Number:________________
Fax: Area code: ______ Number: ____________________
Email__________________________________
Web Page ______________________________
Do you know any current or past members of Project Artaud?
Yes / No If yes, who?
__________________________________________________________________
Number of adults in household ______ Number of children
in household ______
Do you have pets? Yes / No What kind and how many-
________________________________________________________
Project Artaud considers need a factor in evaluating membership
applications. Please indicate the total household income
level for the past calendar year for ALL persons applying
for membership. (You may be required to submit an income tax return
or other verification of income.)
__under $10,000 __$21,000-30,000
__$10,000-20,000 __over $31 ,000
Monthly dues are based on the number of square feet in
a space. Members also pay for utilities and common charges. What
is the maximum total amount you could afford per month?
| ___Under $300 ___$301-400 ___$401-500 ___$501-700 ___$701-999 ___Over $1000 other:___________________ |
Primary Creative Pursuits: (check two)
| ___Arts Administration ___Arts Education ___Artisan – Ceramics ___Artisan – Glassmaking ___Artisan – Jewelry ___Artisan – Textiles / Weaving ___Artisan – Woodworking ___Artisan – Other |
___MultiMedia – Digital Arts ___MultiMedia – Filmaking / Video ___MultiMedia – TV / Radio ___MultiMedia – Sound / Light ___Performing Arts – Dance ___Performing Arts – Drama ___Performing Arts – Playwright ___Performing Arts – Composer |
___Visual Artist – Painter ___Visual Artist – Printmaker ___Visual Artist –Photographer ____Visual Artist – Sculptor ___Visual Artist – Other ___Writer |
What size space do you want? (Give a range in square feet)
| ___100-199 ___200-399 ___400-599 ___600-799 ___800-999 |
___1000-1199 ___1200-1399 ___over 1400 ___no preference |
Specify any special preferences or requirements
e. g. northern light, dance floor, darkroom, etc.
_______________________________________________________________
_______________________________________________________________
New members are required to pay for existing improvements
before they move in. What is the most that you could afford?
| ___Under $5000 | ___$31,000-40,000 | |
| ___$5,100-10,000 | ___0ver $41,000 | |
| ___$11,000-20,000 | ___Need to Borrow it | |
| ___$21,000-30,000 | Other:____________________ |
How would your membership in Project Artaud advance your career
as an artist?
How would you use your space at Project Artaud?
How will you contribute to the Project Artaud community?
Have you ever lived in a cooperative or communal environment
before? If so, please describe:
Project Artaud requests that its members participate in the governance and occasionally the maintenance
of the building. What experience
/interest do you have in these areas?
**Do you plan to both live and work in the studio?
**Do you have any sensitivities or allergies?
**Please list four references, including your landlord, along with their telephone numbers, and email addresses.
How did you find out about Project Artaud?
Comments/Additional Information:
** New application questions as of 4/25/03
PAC Membership Application
Revised 5/2003
Application