REQUEST FOR ARTIST IN RESIDENCE
Please print this page, complete the form and fax to 209-468-9232 or mail to the address below. You may also copy and paste the form to be completed and submit via email to swendell@sjcoe.net .
We will consider your request and contact you with details of your residency options.
Sandra Wendell, Artists-in-Schools CoordinatorP.O. Box 213030, Stockton, CA 95213 Phone: 209-468-4973 Fax: 209-468-9232 Email: swendell@sjcoe.net
____________________________________________________________________________________________________________
Name_______________________________________________________________________________
E-mail______________________________________________________________________________
School _____________________________________________________________________________
Contact Number _____________________________________________________________________
City of booking school ________________________________________________________________
Grade level(s
) Please list the number of classes per grade level that you will be booking.__
K __1 __2 __3 __4 __5 __ 6 __7 __ 8 Total number of classrooms__1 __2 __3 __4 __5 __6 __7 __8 __9 __10 or more
Preferred Residency Months (Rank 1-3)
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January _ February _ March _ April _ May _ June _ July _ August _ September _ October _ November _ December Preferred Day(s) of the week (Rank 1-3)___
Monday ___ Tuesday ___ Wednesday ___Thursday ___Friday Weeks of Residency (select one)___
8 Week Session ___ 4 Week SessionSelect an Artist
Visual Artists __ Pam Wilhelm/ Art Design Mixed Media __ Mario Tejada/ Visual Art Mixed Media __ Inga Perry/ Mixed Media __ Alice Campbell/ Mixed Media Artist __ David Vallejo/ Mixed Media Art __ Kyra Neto/ Mixed Media Multi-Cultural Art __ Katie Farnsworth/ Mixed Media Artist |
Performing Artists __ Beth King/ Dance Artist __ Harmony Flores/ Dance Artist __ James Reed/ Performing/ Dance Artist __ Patti Johnson/ Dance Artist/ Musicals __ Adriana Ribeiro/ Music / Rythm Artist |
