Inglewood Arts Hub (IAH)

Artist-in-Residence Program

Application Form

Applicant first name

Applicant last name

Applicant date of birth

Day

Month

Year

Applicant email

Applicant phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Relevant background:

PDF files of applicant Curriculum Vitae and detailed Artist Statement including links to examples of artwork, e.g. social media or website

Curriculum Vitae (one page maximum)

Artist Statement

Residency goals:

Residency goal 1:

Residency goal 2:

Measurable outcomes:

How will you and the IAH know that your goals have been achieved?

Measurable outcome of residency goal 1:

Measurable outcome of residency goal 2:

Community engagement:

Community Engagement Activity

Which of the following community engagement activities do you propose to undertake? (nominate at least one activity)

Community engagement activity:

Run a workshop

Present an artist talk / demonstration

Run a project within the local community

Create a project about the local community (with community input)

Other

Proposed Community Engagement Project

Provide a brief description of your proposed concept and activity.

Note: if you are successful, you will be required to provide a more detailed plan of your Community Engagement Project before the commencement of your residency, including any drawings/sketches, photos, workshop participants and outline (if applicable), and proposed dates for artist talks, workshops, and/or exhibition.

Community Engagement Project

Practicalities & preferences:

Are you able to be flexible about your length of residency?

Yes

No

Would you prefer to share a studio?

Yes

No

Comment on preference for sharing a studio:

Preferred months

First half of year

Mid-year

Second half of year

Are you interested in having an exhibition at the conclusion of your residency?

Yes

No

Uncertain

Do you have public liability insurance?

Yes

No

Do you have a Working With Children check?

Yes

No

Please list any special requirements:

Other relevant information:

Referees:

List one professional and one character referee (for IAH to contact):

Professional referee first & last name

Professional referee phone

Professional referee email

Character referee first name & last name

Character referee phone

Character referee email

Sign

Applicant signature

Signature field is empty.