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.