Tyrone Guthrie Bursary

Two Week Residency at

The Tyrone Guthrie Centre at Annaghmakerrig

Application form 2015

Please refer to the Guidance Notes when completing this form

  • Write “not applicable” if a section does not apply to you.
  • Please use CAPITAL LETTERS if using your own handwriting.
  • If the form is not fully completed and all relevant enclosures attached by the deadline for the Award, your application will be invalid.

NAME…………………………………………………. DISCIPLINE………………………………………………

PROFESSIONAL NAME IF DIFFERENT ………………………………………………………………………………

DATE OF BIRTH ………………………………......

ADDRESS ………………………………………………………………………………………………………………….

TELEPHONE ………………………………………… EMAIL ………………………………………………………...

1.What is your art discipline? (please )

 Architecture Disability Arts Music- jazz

 Community Arts Drama Music-classical

 Crafts Literature Music-rock/pop

 Film Public Art Opera

 Traditional Arts Dance Visual Arts

 Other (please specify) …………………………………………….

2. Have you been to the Tyrone Guthrie Centre before? Yes/No

If yes, please specify ……………………………………………………………………………………..

3. List your most important publications/exhibitions/performances of the last three years, with dates and venues:

(Continue on a separate sheet if necessary)

4. Description of what will be worked on at the Centre:

(Continue on a separate sheet if necessary)

5.SUPPORT MATERIAL

Please submit a CV and supporting materials relevant to your art discipline. Your application will NOT be valid without them.

Images are to be submitted via email or hard-copy photographsONLY as we are unable to accept CDs or memory sticks to download images.

Images are to be in jpeg format, no larger than 1MB each and emailed to:

Indicate below what materials, and how many, you are submitting.

Materials / Number
CV
Emailed Images
Photographs
Publications
Videos
Reviews
Audio Recordings
Catalogues
Scripts
Scores

Other (please specify) ………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………

Any additional information you wish to add would be welcome

6.Name, address and phone number of 2 Independent Referees who have knowledge of your work and your art discipline.

Referee(1)Referee(2)

Name______Name______

Address______Address______

______

______

Tel: ______Tel:______

7.APPLICANT’S STATEMENT

I have completed all relevant sections of this application form and confirm that all information provided, and any material submitted in support of the application, is truthful and accurate. I undertake to inform Ards and North Down Borough Council at once if any changes in circumstances require the application or supporting material to be amended and will complete an Evaluation Form as requested.

Signed:______

(The applicant)

Date: ______

APPLICATION DEADLINE: Saturday 30th May, 4pm*

*The Town Hall in Bangor is closed on Saturdays –please deliver to Ards Arts Centre if intending to deliver on a Saturday.

Late applications will not be accepted.

Have you completed the referee section of the form?

Have you included evidence of your art discipline?

Have you supplied a CV?

COMPLETED APPLICATIONS

Return by email to:

Or by post to:Ards Arts CentreorTown Hall

Town HallThe Castle

Conway SquareBangor

NewtownardsBT20 4BT

BT23 4NP

For enquiries:Amy McKelvey : 028 9181 0803

Patricia Hamilton: 028 9127 0371

FOR OFFICE USE ONLY

CHECK LIST

/ Application reference
Date received / Date forwarded