AUSTRALIAN PRINT WORKSHOP ARTIST-IN-RESIDENCE PROGRAM 2013 APPLICATION FORM 1) Applicant Details Salutation Ms / Miss / Mrs / Mr / Dr /Other First Name Surname Postal Address Postcode: Phone (Home/Work) (Mobile) Email Website (if applicable) 2) Printmaking Experience and / or Qualifications: Please provide a brief outline. 3) Preferred Print Medium Please indicate the printmaking process/es which you are proficient in and wish to use while working at the APW Open Access Studio. Intaglio Lithography - Stone Lithography - Plate Relief Monotype Other Australian Print Workshop Artist-in-Residence Program 2013 Application Form 1 4) Artist-in-Residency Project Proposal (please limit you answer to no more than 1 page) Please provide a brief description of your proposed project. Australian Print Workshop Artist-in-Residence Program 2013 Application Form 2 5) Residency Outcomes (please limit you answer to no more than 1 page) Please discuss the potential outcomes of this project and what you hope to gain from the residency. Australian Print Workshop Artist-in-Residence Program 2013 Application Form 3 6) Residency Options - Preferred Dates Please indicate your preferred residency (in order of preference) AUG 2013 Monday 5 Aug – Saturday 24 Aug 2013 (3 weeks) AUG / SEPT 2013 Monday 26 Aug – Saturday 14 Sept 2013 (3 weeks) SEPT / OCT 2013 Monday 16 Sept – Saturday 5 Oct 2013 (3 weeks) 7) Referee (Please include details of a referee who has agreed to be contacted on your behalf) Name: Phone: Email: 8) Support Material Resume Images Please include 5 jpeg images (files no larger than 2MB each) of current works which highlight proficiency in your chosen printmaking process/es, saved onto a CD. All digital images must be viewable on a standard PC. Please do not send USB memory sticks. Title Medium Dimensions (cm) 1. 2. 3. 4. 5. Please note: All material must be clearly marked with your name. While all due care is taken, APW takes no responsibility for damage or loss that may occur to support material. If you would like your support material returned, please provide a stamped, self addressed envelope of adequate size. Artist’s declaration: I have read the Information for Applicants guidelines and agree to the conditions of this program. I certify that the information provided in my application is true to the best of my knowledge. I acknowledge that application decisions are final and will not be reviewed. Signed: Date: / / Name: (Please print) Where to send your application: Applications will only be accepted in hard copy. Please do not email your submission or support material. Please do not staple, bind or place your application in a folder. Applications can be hand delivered during APW Gallery hours (10am-5pm, Tues-Sat) or posted to Australian Print Workshop, PO Box 1236, Collingwood, Victoria, 3066. All applications must be received or postmarked on or before on the closing date. Application closing date: 5pm Friday 17 May 2013 Australian Print Workshop Artist-in-Residence Program 2013 Application Form 4