STUDIO VOLTAIRE ASSOCIATES MEMBERSHIP APPLICATION FORM Studio Voltaire is an artist-focused organisation with an artist led ethos. We require a pro-active input from our associate members. Studio Voltaire will not discriminate against eligible applications on the grounds of gender, marital status, race, colour, nationality, ethnic background, national origin, religion, disability, or age. Completed application forms, an up to date CV and images must be sent as a single email to associates@studiovoltaire.org. The subject line must read: Studio Voltaire Associate Application followed by the applicants name. Personal Details Date of Application: ….................................................................................. Full Name: ...................................................................................... Address: ...................................................................................... Post Code: ...................................................................................... Tel: ...................................................................................... Email: ...................................................................................... Website: ...................................................................................... Date of Birth: ...................................................................................... Female ☐ Are you … Are you a student Are you a graduate? Yes ☐ Male ☐ Other ☐ Yes ☐ No ☐ No ☐ If yes … Where did you study/are you currently studying? What course are you on/have you completed? FE ☐ Undergraduate ☐ Level of study Postgraduate ☐ PHD☐ Are you currently: Employed full time ☐ Unemployed ☐ Employed part time ☐ Retired ☐ Self employed ☐ How would you describe your practice? Artist ☐ Curator ☐ Art-writer ☐ Designer ☐ Other .......................................... Statement Please provide a short statement in support of your application, describing your current artistic practice, your motivations and future goals and reasons for joining the Studio Voltaire Associates programme (300 words maximum). ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ............................................................................................................................................................................................................. ................................................................................................................................................................ Payment Studio Voltaire Associates Membership costs £30 per annum Payment must be made by standing order. Studio Voltaire Bank Details for standing orders: Account Name: Studio Voltaire Account Number: 00011987 Sort Code: 3 0-92-10 Bank: TSB I agree to pay a yearly standing order of £30 to Studio Voltaire for Associate Membership. Print Name Sign name Date Checklist for application for Associate Membership 1. Completed application form 2. Current CV 3. Up to 6 images of recent work. Images should be sent as an email attachment in jpeg form and must not exceed 6MB in total. 4. Yearly membership payment must be made by Standing Order. 5. Applicants must agree to abide by all Studio Voltaire policies and agreements Thank you for your application. We will be in touch to confirm your membership within four weeks of receiving your form.