| Forenames * |  | 
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| Surname * |  | 
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| E-mail * |  | 
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  | Verify E-mail * |  | 
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| Current Address
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  | Street and House number  * |  | 
  | Town / City * |  | 
| State / Prefecture * |  | 
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| Postal Code |  | 
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| Country * |  | 
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| Phone * |  | 
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| Fax |  | 
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| Other Address (optional)
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  | Street and House number |  | 
  | Town / City |  | 
| State / Prefecture |  | 
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| Postal Code |  | 
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| Country |  | 
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| Phone |  | 
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| Fax |  | 
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| Personal Details
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| Gender * | Male| Female| Other | 
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| If you have multiple nationalities, please provide them. 
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| Nationality * | select country/countries 
	Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
 Argentina
Armenia
Aruba
Australia
Austria
 Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
 Belarus
Belgium
Belize
Benin
Bermuda
 Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
 Bouvet Island
Brazil
British Indian Ocean Territory
Brunaei Darussalam
Bulgaria
 Burkina Faso
Burundi
Cambodia
Cameroon
Canada
 Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
 China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
 Congo
Cook Islands
Costa Rica
Côte d'Ivoire
 Croatia
Cuba
Curacao
Cyprus
Czech Republic
 Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
 Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
 Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
 Finland
France
French Guiana
French Polynesia
French Southern Territories
 Gabon
Gambia
Georgia
Germany
Ghana
 Gibraltar
Greece
Greenland
Grenada
Guadeloupe
 Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
 Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
 Hungary
Iceland
India
Indonesia
Iran
 Iraq
Ireland
Isle of Man
Israel
Italy
 Jamaica
Japan
Jersey
Jordan
Kazakhstan
 Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
 Laos
Latvia
Lebanon
Lesotho
Liberia
 Libya
Liechtenstein
Lithuania
Luxembourg
Macao
 Macedonia
Madagascar
Malawi
Malaysia
Maldives
 Mali
Malta
Marshall Islands
Martinique
Mauritania
 Mauritius
Mayotte
Mexico
Micronesia
Moldova
 Monaco
Mongolia
Montenegro
Montserrat
Morocco
 Mozambique
Myanmar
Namibia
Nauru
Nepal
 Netherlands
New Caledonia
New Zealand
Nicaragua
 Niger
Nigeria
Niue
Norfolk Island
North Korea
 North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
 Palau
Palestine 
Panama
Papua New Guinea
Paraguay
 Peru
Philippines
Pitcairn Islands
Poland
Portugal
 Puerto Rico
Qatar
Romania
Russian Federation
 Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
 Saint Pierre and Miquelon
Saint Vincent and the Grenadines
 Samoa
San Marino
Sao Tome and Principe
 Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
 Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
 South Africa
South Georgia/South Sandwich Islands
South Korea
South Sudan
Spain
 Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
 Switzerland
Syria
Taiwan
Tajikistan
Tanzania
 Thailand
Timor-Leste
Togo
Tokelau
Tonga
 Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
 Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
 United States
Uruguay
Uzbekistan
Vanuatu
Vatican (Holy See)
 Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
 Western Sahara
Yemen
Zambia
Zimbabwe
 
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| Country of Birth* |  | 
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| Date of Birth * |  | 
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| 
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| Language Proficiency *
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| English | Fluent| Survival| Nil | 
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| Japanese | Fluent| Survival| Nil | 
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| 
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| Please tell us how you heard about ARCUS Project.
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|  | 
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  | ARCUS Project website / Facebook / Twitter |  | 
  
    | Other websites |  | 
  
    | E-Newsletter from ARCUS |  | 
  
    | Other Mailing List |  | 
  
    | Flyers of the ARCUS |  | 
  
    | From friends or acquaintance |  | 
  
    | Newspapers / Magazines |  | 
  
    | Others |  | 
 
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| As of January 2025, have you exhibited or participated in an artist-in-residence program elsewhere in Japan? Or do you currently have plans to do so?
*
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| Statement * Briefly describe your main concerns and/or focus in your activities as an artist.
 max. 200 words / English only
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| Proposal * What kind of research/project/work would you like to conduct, and how will you realize it?
 max. 400 words / English only
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| 
 
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