<p> Application Forms (Researcher/Curator) 2016</p><p>(Submit the printed hard-copy and the digital file on CD-R)</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Form 1 <Personal Data></p><p>Name</p><p>Sex Date of birth （Attach photo） Nationality Marital status 3.5cm×4.5cm Place of birth Other languages 1</p><p>Primary language(s): 1 2</p><p>2 3</p><p>Home address （required）</p><p>Tel Fax Email Mobile</p><p>Work</p><p>Tel Fax Email </p><p>Other （ ）</p><p>Tel Fax Email Application Forms (Researcher/Curator) 2016</p><p>(Submit the printed hard-copy and the digital file on CD-R)</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Forms 2 <Curriculum Vitae></p><p>1. CV （Please write no more than 7 selected items of education, work experience, etc.）</p><p>(Year)</p><p>2. Past curation, projects, essays (up to 10 items)</p><p>Year Title of exhibition, project, essay, etc Content Application Forms (Researcher/Curator) 2016</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Form 3 <Proposal 1></p><p>1. How did you hear of this program?</p><p>3. Reasons for application Application Forms (Researcher/Curator) 2016</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Form 4 <Proposal 2></p><p>Research plan </p><p>Theme</p><p>Brief overview (No more than 250 words of English)</p><p>Working schedule Application Forms (Researcher/Curator) 2016</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Form 5 <Proposal 3></p><p>Plan of educational program （If you have several plans, please use a photocopy of this form for each plan.）</p><p>Title</p><p>Target group Please state which group of people you would like to work with. (Eg. Adults, college students, high school, junior high school, elementary school students, children (or preferable age), parents and children, etc.)</p><p>Duration/ Approx. Hrs/ mins sessions How many times?</p><p>Content (No more than 250 words of English) Application Forms (Researcher/Curator) 2016</p><p>Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2016</p><p>Application Form 6 <Letter of Recommendation></p><p>I would like to recommend the below-mentioned researcher/curator for the Fukuoka Asian Art Museum Researcher/Curator in Residence Program 2015.</p><p>Name of the researcher/curator</p><p>Date Signature </p><p>This form must be filled in by the recommender.</p><p>Name of the recommender Nationality</p><p>Occupation Position</p><p>Name of the organization or institute</p><p>Address of the organization or institute</p><p>Tel Fax Home address</p><p>Tel Fax Email Mobile</p><p>Relation with the researcher/ curator</p><p>Reasons for recommendation</p>