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Foreign languages that you can use, indicating your proficiency in reading, speaking, and writing each: Spanish

Professional organizations of which you are a member:

Positions that you have held (professional, teaching, administrative, and business), beginning with your current position and working backwards:

Name of Institution or Organization
CAL ARTS ARTIST IN RESIDENCE PROGRAM

Position (Full Title)
ARTIST IN RESIDENCE

Dates of Tenure
1996

Name of Institution or Organization
UNIVERSITY OF IOWA

Position (Full Title)
ARTIST IN RESIDENCE

Dates of Tenure
1991

Name of Institution or Organization
ARTIST TELEVISION NETWORK

Position (Full Title)
PRESIDENT

Dates of Tenure
1977-1985

REFERENCES:  List the names and postal mailing address of four persons who are familiar with your work and to whom the Foundation may write for expert judgment concerning your abilities, especially in relation to your proposal for the use of a Fellowship. (All statements by references to the Foundation are held in the strictest confidence.)

Name
SUSAN HOELTZEL

Postal address
250 BEDFORD PARK BLVD WEST
BRONX, N.Y. 10468

Zip Code

Position
ART GALLERY

Name
PEDRO CUPERMAN

Postal address
216 HB CROUSE
SYRACUSE UNIVERSITY
SYRACUSE NY 13244

Zip Code

Position
DIRECTOR SYRACUSE VIDEO FESTIVAL

Name
BARBARA ABRASH
ASS. DIRECTOR CENTER MEDIA ARTS

Postal address
25 WAVERLY PLACE
NEW YORK N.Y. 10003

Zip Code

Position
ASS. DIRECTOR MEDIA ARTS

Name
BERTA SICHEL
DIRECTOR VIDEO, MUSEO MACIONAL REINA SOFIA

Postal address
SANTA ISABEL 52
28012 MADRIO
SPAIN.

Zip Code

Position
DIRECTOR VIDEO PROGRAMS

You are advised that, in accordance with the provisions of the Federal Tax Reform Act of 1969, all successful applicants for Fellowships will be required to submit, at the conclusion of their Fellowship terms, reports summarizing what they have accomplished and accounting for the funds they have received. Your signature below indicates your acceptance of the rules and conditions of the competition as stated in the four pages of this form.

NAME
JAMIE DAVIDOVICH

SIGNATURE
/S/ JAMIE DAVIDOVICH

PLACE AND DATE OF MAILING
NEW YORK SEPTEMBER 19, 2005

If you do not receive an acknowledgment of your application within a reasonable time, please notify the Foundation.  If you move after filing this application, please notify the Foundation of your new address.