Onirica 09 - Resign Academy FORM
1 pages
Published by
Fuoriscala
Copyright :
Application Form
Verona 24/8/09 – 11/9/09
Profile
Name: ………………………………….
Surname: …………………………….
.
Headline:...
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Application Form
Verona 24/8/09 – 11/9/09
Profile
Name: ………………………………….
Surname: …………………………….
.
Headline: ………………………………………………………………………
Education: ……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………
Contact
Address: ……………………………………………….
.
E-mail: ………………………………….
.
Website: …………………………………
Tel.
: ………………………………….
Attached
• One personal picture.
• Curriculum Vitae.
• Minimum n° 3 pictures of your works (advised, but not obligatory).
Autorizzo al trattamento dei miei dati personali ai sensi del D.
L.
30 giugno 2003 n.
196 e
all’utilizzo del materiale da me fornito nell’ambito delle iniziative promosse da Resign e dalla
associazione culturale Do – nucleo culturale di Faenza.
Data.
________________________ FIRMA:____________________________
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