REGISTRATION FORM

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REGISTRATION FORM

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Name: *

Address: *

Profession/Organization: *

(if artist please indicate which medium do you use mostly)

Phone Number: *

Email: *

Website: *

Have you made any grant applications before: *

Any particular funding body you want to discuss in the seminar/ workshop:

(optional)

How did you hear about Berlin Art Grant Clinic: *

Are you affiliated with any Univerisites? If yes, How? *

Please select relevant box(es) to show the Seminar/ Workshop/ Module(s) you want to attend:

*Those who attend this seminar and also registers at Operation Workshop session (after the Early Bird deadline) gets 10% discount. In this case, the fee is calculated from regular rate. ** Please note that the participants who will attend Operation Workshop Module #2 will be asked to sign a confidentiality agreement in order to avoid plagiarism and keep the originality of the participants’ projects.

Early Bird Rate (95,20 EUR inkl. 19% mwst)

Regular Rate (115 EUR inkl. 19% mwst)

GRANT DIAGNOSIS SEMINAR*

APPLICATION OPERATION WORKSHOP**

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