Creating Community Through Art	SANCHEZ ART CENTER Pacifica Center for the Arts 1220 B Linda Mar Blvd. Pacifica, CA 94044 650-355-1894 info@sanchezartcenter.org            www.SanchezArtCenter.org
STUDIO APPLICATION   Name ________________________________________                        Email_________________________ (Please provide complete contact information where indicated on the reverse of this form.)   Primary Medium ________________________________   Which  type of space you are most interested in?  Please note all studios are rented �as is�. See attached for rates.   Share large studio            Single small studio with sink          Single occupant small studio � NO sink   What materials, equipment or tools do you plan to use in the studio? __________________________________ ______________________________________________________________________________________   What energy / utility or special requirements do you have? __________________________________________ ______________________________________________________________________________________   How often do you plan to use the studio space each week? ______________hrs per week   What time of day / night are you likely to use a studio space? ____________________________________   What are your goals as an artist?_____________________________________________________________ ______________________________________________________________________________________ Please read Service Hours, attached. Are you willing and able to participate?      YES           NO Briefly describe any volunteerism, arts related or other, that you have participated in:                                                                                                                                                                                                                                            Please attach  resume, artist statement, bio, and/or exhibition history to demonstrate your artistic background.   Please provide samples of work in the form of photos, color copies, duplicate slides, or CD/DVD. DO NOT submit original artwork.   Please provide S.A.S.E. if you would like your materials returned eventually. Additional Comments: ________________________________________________________________                                                                                                                                                                                                   Please provide name, address and/or phone numbers of two professional references (landlords,  vendors, professional/artist  acquaintances etc.)   1.________________________________________          2.  ___________________________________   __________________________________________              ____________________________________    __________________________________________              ____________________________________   Signature ________________________________________________                     Date _____________ Sanchez Art Center is a California Non-Profit Public Benefit Corporation. Continue to other side.                                                                                                                                             App Rev/ 5/06
SANCHEZ ART CENTER Pacifica Center for the Arts 1220 B Linda Mar Blvd. Pacifica, CA 94044 650-355-1894 info@sanchezartcenter.org            www.SanchezArtCenter.org
AUTHORIZATION FOR CREDIT REPORT     Last Name___________________________  First Name___________________   M.I.____   Home Tel:__________________________    Work/Cell Tel._________________________    Address ______________________________ City _________________Zip ___________     SSN________________________________   California Driver�s License/ID____________________   Date of Birth_______/______/__________.   Applicant(s) declares the above information to be correct, true, and complete. Applicant(s) authorizes landlord and/or his authorized agents to verify the above information including obtaining a credit report on themselves.  Applicant(s) understands that the landlord may terminate rental agreement entered into for any misrepresentation made above.   Applicant�s Signature_________________________________    Date___________________   Co-Applicant�s Signature (if applicable):_________________________Date______________       Call Coast Credit Reports 1663 Mission Street San Francisco, cA 94103 Tel. 415.831.6900 Fax 415.252.2822       Applicant: Please attach check for $20.00 made payable to Sanchez Art Center to cover cost of report.