Residency Submission form

 Mr  Mrs  Ms
First, Last Name
Street 1
Street 2
ZIP, City


Please indicate what 3 months term you would like to come to Basel:

Preferred Residency
Spring term (March - May)
Summer term (June - August)
Fall term (September - November)
Winter term (December - February)
All of the above (No preference)


Our residency is open to artists working in the field of film, television and related arts up to the age of 35 years. Please indicate your date of birth below:

Date of birth


We'd like to know a bit more about you and your motivation to come to Basel:

Motivation Summary (4000 Characters)
How did you hear about us?
Links to CV and works
 I hereby confirm that the information provided here is entirely in correspondence with the data of the applicant.