Artist or Curator Residency (ACR) program
2015 Application form
Submission deadline: Friday 29 August 2014, 5.00pm
Amount available: $11,250 per residency
All applications and support material must be emailed by the closing date to Lillian Lim,
Gallery Programs and Touring Exhibitions Coordinator at lillianl@mgnsw.org.au.
All applications received will be acknowledged by return email. If you do not receive an email
confirmation, please contact Lillian Lim on the above email address or 02 9339 9905. It is the
applicant’s responsibility to ensure that the submission has been received via this confirmation
process.
Please submit your application using this Word document template. Do not send in PDF format.
Support material can be in PDF format. Image based material can be in Powerpoint format. For the
transfer of large files over 6MB, Zip files into one folder and send via email. Applications should be
forwarded via a single email.
Only electronic applications will be accepted. A hard copy submission of the application is not required.
Please make sure that you have read the guidelines before completing the application form.
For further information please contact Museums & Galleries NSW on 02 9358 1760.
The Artist or Curator Residency program is funded by the Copyright Agency Limited’s Cultural Fund.
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1.1 Applicant details
Organisation:
Gallery name (if different from above):
Director/Manager:
Street address:
Suburb:
State:
Postcode:
Postal address:
Suburb:
State:
Postcode:
Phone:
Fax:
Email:
Website:
ABN:
GST registered?
Yes
No
Local government area:
1.2 Contact details
Name of contact:
Position:
Phone:
Mobile:
Email address:
1.3 Legal status
Please specifiy the applicant’s legal status
Incorporated association
Local government department
Company limited by guarantee
Other
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If the applicant is not a legal entity such as an incorporated association or a company limited by
guarentee, indicate who will administer the grant on your behalf (e.g. local government).
2. About your organisation
When was the organisation established?
Number of paid staff:
Number of active volunteers:
Please indicate which of the following policy documents and plans your organisation has.
Please be aware that M&G NSW might request these documents prior to assessment.
Strategic plan
Education policy
Collections policy
Exhibitions policy
Annual financial report (audited if applicable)
3.1 Project summary
Please indicate which type of residency you are applying for:
Please tick one box only from the selection below. If the proposed resident is both a practising artist
and practising curator and this project relates to their capacity in both areas please tick the third box,
Artist and Curator.
Artist
Artist and Curator
Curator
Name of artist or curator:
Name of residency location/host organisation:
If the residency location differs from the applicant’s organisation or gallery detailed in section one of
this form, please complete the following details.
Street address:
Suburb:
State:
Postcode:
Phone:
Fax:
Residency dates (Must be within 1 January – 31 December 2015):
Name of Project Manager (Who will coordinate the project):
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Please briefly describe the residency project, including the intention and focus (max 50 words).
Will the work produced be exhibited or published? Please provide details (max 100 words).
3.2 Project in detail
Project description (max 500 words).

What is the aim of the residency and the desired outcome?

How/where/when will the residency take place?

How does the proposed project relate to your organisation’s strategic plan or artistic program?
Creative and professional development opportunities (max 500 words).

How will the residency provide a tangible benefit to the artist or curator’s work?

Are there other creative or development opportunities resulting from the proposed residency?
Education and public program opportunities (max 500 words).

How will the residency provide relevant opportunities for audiences to engage with the artist or
curator and contemporary art/craft/ideas?
3.3 Project plan
Please provide a project plan and timeline for the residency (i.e. key dates and activities). The residency
must occur within 1 January – 31 December 2015. A resulting exhibition or publication can occur in
2016.
Activity (what)
Date/timeframe (when)
Deliverables (how)
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4.1 Budget - income
Please complete the budget template below for this project.
Income
Budget
Notes
Funding
Australia Council funding
Arts NSW funding
Other funding (Local, State or Federal Govt)
Please specify:
Foundation/other
Please specify:
Sub-total funding
Earned income
Admission charges
Merchandise sales
Other earned income
Please specify:
Sub-total earned income
Other income
Gallery contribution in kind
Please specify:
Cash sponsorship
Please specify:
In kind sponsorship (dollar value)
Please specify:
Other
Please specify:
Sub-total other income
Amount requested from ACR $11,250
Total income
4.2 Budget - expenses
Please complete the budget template below for this project indicating the expenses and the amount
which would be funded by the ACR. All figures should be exclusive of GST. Please note, income must
equal expenditure.
Expenses
Budget
Amount funded
by ACR
Notes
Artist or curator expenses (See NAVA best practice guidelines)
Artist fees
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Curator fees
Other fees
Please specify:
Travel
Accommodation
Per diems
Other
Please specify:
Sub-total artist or curator
Exhibition/new work expenses
Materials
Equipment
Freight
Installation and de-installation
costs
Photography
Other
Do not include labour costs
Please specify:
Sub-total exhibition/new work
Interpretation expenses
Catalogue design
Catalogue printing
Signage specific to the
exhibition
Copyright fees
Other
Please specify:
Sub-total interpretation
Public program expenses
Public program professional
fees
Equipment hire
E.g. AV/computer
Workshop support materials
Other
Please specify:
Sub-total public program
Marketing and publicity expenses
Advertising
Printing/photocopying
Design
Copyright fees
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Other
Please specify:
Sub-total marketing
Administration expenses
Printing/photocopying
Other
Please specify:
Sub-total administration
Total expenses
Requests from the ACR
program must total
$11,250)
6. Support material
Please include the following support material:
 Current artist or curator CV or biography (max 1 A4 page)
 Examples of the artist’s work. Images in Jpeg format or video should be inserted into the ACR
PowerPoint template provided with this application form or downloaded from
http://mgnsw.org.au/grants/gallery_grants/ (max 10 images, 5 minutes video duration).
Complete caption information such as artist name, title and date of work must be included.
 Examples of the curator’s written work (max 10 pages) Source, date and publication information
must be included where appropriate.
 An abridged CV or biography for relevant personnel involved in the project e.g. project
coordinator, or other relevant personnel etc (max 1 A4 page per person).
 Letters of support from relevant organisations.
7. Application checklist
Application discussed with M&G NSW staff member
All outstanding M&G NSW grants acquitted
All sections of the application form completed
Section 8 completed by an authorised person from the organisation
Artist or curator CV attached
Examples of artist or curator’s work inserted into ACR PowerPoint template or attached
CV for all relevant personnel attached
Letters of support from relevant individuals and/or organisations
Please note that M&G NSW are unable to return submitted support material.
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8. Declaration by applicant
By checking this box, I agree that I have read the guidelines relating to the grant program. I certify
that to the best of my knowledge, all the information in this application is correct and has been
approved by the board of management or relevant authority, and that I have the delegated authority to
sign this application.
Name of authorised person:
Position:
Date:
The ACR program is enabled with funds devolved from the Copyright Agency Limited’s Cultural Fund. If
these funds are no longer available, M&G NSW may be unable to run this program and not provide full
or part funds.
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