PROJECT ARTAUD CORPORATION 499 Alabama Street, San Francisco, CA 94110 ¥ phone 415.621.4240 ¥ fax 415.621.3824 ¥ www.artaud.org Project Artaud Membership Application Date of application:______________________________ Name(s):_____________________________________________ _____________________________________________ Street Address:________________________________________ City:________________________State:______Zip:__________ Phone Ð 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 If yes, 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 ____$501-700 ____$301-400 ____$701-999 ____$401-500 ____Over $1000 ____ other:___________ Primary Creative Pursuits: (check two) ___ Arts Administration ___MultiMedia Ð Digital Arts ___Performing Arts Ð Other ___Arts Education ___MultiMedia Ð Filmaking/Video ___ Visual Artist Ð Painter ___ArtisanÐCeramic ___MultiMedia Ð TV/Radio ___ Visual Artist Ð Printmaker ___ArtisanÐGlassmaking ___MultiMedia Ð Sound/Light ___ Visual Artist Ð Photographer ___ArtisanÐJewelry ___Performing Arts Ð Dance ___ Visual Artist Ð Sculptor ___ArtisanÐTextiles/Weaving ___Performing Arts Ð Drama ___ Visual Artist Ð Other ___ArtisanÐWoodworking ___Performing Arts Ð Playwright ___ Business ___ArtisanÐOther ___Performing Arts Ð Composer ___ Writer What size space do you want? (Give a range in square feet) ___100-199 ___600-799 ___1200-1399 ___200-399 ___800-999 ___over 1400 ___400-599 ___1000-1199 ___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 ___$21,000-30,000 ___Need to Borrow it ___$5100-10,000 ___$31,000-40,000 ___Other: _________ ___$11,000-20,000 ___Over $41,000 __________________ 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 7/2003