Artaud Application

PROJECT ARTAUD CORPORATION

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


Please mail or drop off your completed application to the Project Artaud Office.

Your application will be held for one year.

Project Artaud Membership Application

DATE of application: ____________________

Name(s) :________________________________________________

________________________________________________________

Street Address:____________________________________________

City:__________________State:___________ Zip:________________

Phone:

Type: (home / work / studio / cell) Area code:________Number:________________

Type: (home / work / studio / cell) 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 $20,000 __$20,000-35,000__$35,000-50,000 __over $50,000


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 Artist -Photographer

___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