2020 Merrigong & Performing Lines Digital Artist Residency - Expression of Interest

ABOUT YOU

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* 1. Name

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* 2. Date of Birth

Date

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* 3. Gender

Female

Male

Other (Optional)

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* 4. Address

Address

City/Town

State/Province

ZIP/Postal Code

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* 5. Email

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* 6. Mobile Phone

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* 7. Are you applying to attend as an individual or as a group?

Individual

Group

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* 8. If applying as a Group - Group Member(s) Details - please include name and email address for each additional group member you would like to attend, up to a maximum of 3 members in total. NOTE: extra members may be required to contribute a higher amount toward the cost of attending.

Group Member 1

Group Member 2

Group Member 3

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* 9. Do you (or someone in your group) identify as a person with disability?

Yes

If YES: Name (if not primary applicant)

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* 10. Do you (or someone in your group) identify as a person from a culturally and linguistically diverse background?

Yes

If YES: Name (if not primary applicant)

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* 11. Do you (or someone in your group) identify as an aboriginal and/or torres strait islander?

Yes

If YES: Name (if not primary applicant)

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* 12. Please provide a short arts biography for yourself / each member of the group (Max 150 words per person - any more than this will be cut off when shared with selection panel)

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* 13. If your expression of interest is successful you will need to be available for the whole 3 days of the residency
Friday 16 October – full day, with optional evening sessions
Saturday 17 October - full day, with optional evening sessions
Saturday 31 October – full day

Yes I can confirm my/our availability for those dates and times

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* 14. Whilst the residency is heavily subsidised, each successful applicant will be required to pay a deposit of $100 to secure their spot of which $75 is fully refundable after attendance at the residency and completion of the debrief survey. Instalment plans can be discussed for those experiencing financial difficulty.
NOTE: Where a group is successful each member will be required to pay the full deposit to secure their spot.

I/we agree to providing a deposit of $100 (each) if successful

I/we are experiencing financial difficulty and would like to discuss alternative arrangements

2020 Merrigong & Performing Lines Digital Artist Residency - Expression of Interest

ABOUT YOU

Question Title

* 1. Name

Question Title

* 2. Date of Birth

Question Title

* 3. Gender

Question Title

* 4. Address

Question Title

* 5. Email

Question Title

* 6. Mobile Phone

Question Title

* 7. Are you applying to attend as an individual or as a group?

Question Title

* 8. If applying as a Group - Group Member(s) Details - please include name and email address for each additional group member you would like to attend, up to a maximum of 3 members in total. NOTE: extra members may be required to contribute a higher amount toward the cost of attending.

Question Title

* 9. Do you (or someone in your group) identify as a person with disability?

Question Title

* 10. Do you (or someone in your group) identify as a person from a culturally and linguistically diverse background?

Question Title

* 11. Do you (or someone in your group) identify as an aboriginal and/or torres strait islander?

Question Title

* 12. Please provide a short arts biography for yourself / each member of the group (Max 150 words per person - any more than this will be cut off when shared with selection panel)

Question Title

* 13. If your expression of interest is successful you will need to be available for the whole 3 days of the residency Friday 16 October – full day, with optional evening sessions Saturday 17 October - full day, with optional evening sessions Saturday 31 October – full day

Question Title

* 13. If your expression of interest is successful you will need to be available for the whole 3 days of the residency
Friday 16 October – full day, with optional evening sessions
Saturday 17 October - full day, with optional evening sessions
Saturday 31 October – full day