CRADLE COAST CAMPUS - 2017 ARTIST IN RESIDENCE APPLICATION FORM

Before completing this application, please refer to Program Guidelines available at www.www.cradle-coast.utas.edu.au

1 / Applicant’s Details
Name:
ABN (If applicable):
Address:
City/Suburb/Country: / Postcode:
Work Ph.: / Mobile:
Email: / Website:
2 / Project Details
Project Title:
Project Summary:
Proposed Start Date:
Proposed Completion Date:
3 / Categories (Please tick all relevant)
Visual Arts, Craft and Design
Literature
/ Digital/New-Media
Research/Community-based
Performing Arts
Other (please list)
4 / Consent (Please tick)
I give UTAS permission to promote my work and my project for promotional purposes.
5 / Check List (Please tick)
You have read the 2017 Residence Guidelines and confirm your eligibility
You have completed all sections of this application form
You have provided a project plan addressing selection criteria
You have provided a one (1) page CV for all key personnel involved in your project
You have included relevant support materials and documents
6 / Project Details (Who, What, When, Why, Where & How)
Please provide:
§  A detailed description of the proposed project with emphasis on the creativity and quality of your project. (300 words)
§  An artist’s rationale/statement i.e. Why you want to do this project (200 words)(
§  Clear information about how your project relates to the selection criteria (200 words)
You may attach a sheet if extra room is required.
7 / Professional Details
Please Provide:
§  an overview of your relevant experience and that of other key project participants (max 300 words)
8 / Project Management
Please provide:
§  a timeline of key activities or milestones
§  a list of human and physical resources required to complete your project
§  a brief risk management analysis
9 / Timeline
Date / Key Activity or Milestone
1
2
3
4
5
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10 / Resources Required - Please attach a separate page if needed
Human Resources
(e.g. administration) / Physical Resources
(e.g. studio& equipment)
11 / Risk Management
Identify major risks associated with your project, rate the likelihood of this risk and provide a suitable contingency.
Risk / Likelihood
1 =unlikely 10 = very likely / Contingency Plan
EG. Unable to source materials locally / 8 / Arrange delivery of materials from interstate supplier
12 / Outcomes and Benefits
Please provide:
A description of the artistic, community and/or cultural benefits of the project (300 words max)
13 / Index of Support Material
Please itemise your support materials here:
·  Up to four (4) examples of recent and relevant work in digital format (Maximum 1MB per image)
·  DO NOT EMBED IMAGES INTO YOUR APPLICATION FORM, IMAGES MUST BE EMAILED AS DIGITAL FILES
List of Artworks: Please name image files as follows: Artist’s name, artwork title, year completed, medium, dimensions
1
2
3
4
Support Letters: Please attach two (2) letters of support relevant to this project and list below.
Name and position
Organisation
Your relationship
Name and position
Organisation
Your relationship
14 / Budget Summary for Allowable Expenses – Maximum $5,000 (AUD)
Please attach a quote for items over $500.00
Allowable Expense: / Description / Total Costs
EG: Travel to Burnie / EG: Return Flights from Melbourne to Burnie, plus taxi to/from campus Quote attached. / EG. $965.00
TOTAL AUD $
If relevant, please list the $AUD value of any in-kind contributions or any additional funding sources here:
Contribution / Description: / Value in $AUD
E.G Art Materials / EG. I have received sponsorship to the value of $800 from XYZ Art Supplies (confirmation attached) / EG. $800
TOTAL AUD $

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