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Indonesia Residency Application 2021
September 1 - October 31, 2020
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
What country are you a citizen of?
*
Your answer
Which country are you currently residing in?
*
Your answer
Your Instagram
Your answer
Your Facebook
Your answer
Your Website (leave blank if n/a)
Your answer
What is your main art / field of training?
*
Your answer
In which area are you looking to develop while at Momentom?
*
Your answer
Do you have a personal project / business venture? Please describe.
*
Your answer
Do you need access to a workspace while in residency?
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Yes - I work 20+ hours a week
Yes - I work less than 20 hours a week
No, this is not of high importance for me
What is your intention for coming to Momentom?
*
Your answer
How did you hear about Momentom?
*
Friend or family
Google
Instagram
Facebook
Youtube
At a festival or live event
At a studio or jam
Please specify name of friend / studio / event
*
Your answer
Are you looking for an investment option to a permanent community?
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Yes
No
Maybe
What does the perfect community look like to you?
*
Your answer
Is there anything else you'd like to share with us?
*
Your answer
Thank you for your submission. We will be in touch soon.
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