application

Project Artaud Corporation

499 Alabama Street, San Francisco,
CA 94110 * phone 415.621.4240 * fax 415.621.3824

Please send your completed application
along with

two self-addressed stamped envelopes

and three self addressed stamped postcards

to the Project Artaud Office.

You may also drop off your application during office hours.


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

___Performing Arts – Other

___Visual Artist – Painter

___Visual Artist – Printmaker

___Visual ArtistPhotographer

____Visual Artist – Sculptor

___Visual Artist – Other




___Business

___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


End of form: Project Artaud Membership
Application