Application form 
deadline for submissions: August 27th, 2017, 24 p.m., GMT
(please fill up in English or Polish)
Selecting the program (please mark the selected option with a cross):	„Live” (workshops + presenting the performance during the festival)   

		

 „Video” (participating only in the video programme of the festival)

I would like to participate in both programmes	
Name and Surname:		
Date and place of birth:		
Address:		
e-mail :
phone number:
website:		
Information about education and list of the most important exhibitions or artistic projects (not more than 1500 characters): 

                    

Short artistic statement (not more than 1500 characters)		
Short description of your motivation: why do you want to participate in Performance Platform Lublin? (not more than 1500 characters) – it concerns only artists who are interested to participate in „Live” program   
		
Which workshop group do you prefer to join and why?
(Marilyn Arsem, Jurgen Fritz or Martin Zet) – it concerns only artists who are interested to participate in „Live” program   

	
Short description of the video documentation including: the title, date, place, name of the video maker, short description (up to 1000 characters). 		

I hereby agree for my personal data to be processed for the purposes of recruitment, under the Personal Data Protection Act of 29 August 1997 (Dziennik Ustaw of 2002 No.101, item 926, as amended).

Date, place			             Signature

I hereby agree for the sent documentation to be stored in the Performance Art Archive, located in the Galeria Labirynt, ul. Popiełuszki 5, 20-052 Lublin. The Archive serves educational and research purposes exclusively. The collected materials are intended only for non-commercial use. 

I agree					
	
I do not agree
 (Please tick the appropriate box)

Place, date			              Signature

THANK YOU!