Make Room Application Form

CONTACT DETAILS

Name

First Name

Last Name

Artist/Organisation Name

Email

Phone

Address

Address 1

Address 2

City/Suburb

Post Code

State

Country

RESIDENCY PREFERENCES

I am applying:

as an individual artist

as a member of a group or ensemble

on behalf of an organistation

This application is for:

Short Form Residency (one week)

Long Form Residency (two weeks)

Long Form Residency (three weeks)

Long Form Residency (four weeks)

Preferred Residency Start Date

Please select your top three preferred residency start dates. Please note that date confirmation will be in negotiation with Theatre North.

Date

Preferred Residency Start Date 2

Date

Preferred Residency Start Date 3

Date

ABOUT THE ARTIST/ORGANISATION

Please tell us about you (or your group/organisation) and your practice (100 words max.):

100 words left

Upload a single document with a CV/bio for all participating artists:

Document must be in PDF format. You are welcome to include images/headshots in the document.

Artist/Organistion Website

ABN (Australian Business Number)

PROPOSED ACTIVITY

Please tell us about the activity you propose to undertake for your Make Room residency:

Maximum 200 words.

200 words left

ADDITIONAL INFORMATION

Please tell us about any accessibility or technical requirements we may need to know to help make your residency a success:

(200 words or less)

200 words left

OPTIONAL DEMOGRAPHIC INFORMATION

Do you identify as:

Answering the questions below is entirely optional. These questions are being asked for in-house reporting and to ensure contextual cultural safety. Information gathered is confidential.

Palawa, Australian First Nations or Torres Strait Islander?

Culturally/linguistically diverse or a person of colour?

Being d/Deaf or a person living with a disability?

A member of the LGBTQIA+ community?

AGREEMENT

I understand that:

the Make Room residency does not offer financial support to the project and if successful for a Long Form residency, I (or my organisation) will be invoiced for $80/wk. for cleaning.

prior to the residency, Theatre North may promote the engagement through social and traditional media channels.

the artist/organistion is required to acknowledge Theatre North as a supporter in any further development or public outcomes arising from the Make Room residency.

I confirm that:

all details are correct and I wish to be considered for inclusion in the Make Room program.

Signature

Date

REVIEW AND SUBMIT

What's On

Season

Support

Make Room

Make Room Application Form

Make Room

CONTACT DETAILS

RESIDENCY PREFERENCES

ABOUT THE ARTIST/ORGANISATION

PROPOSED ACTIVITY

ADDITIONAL INFORMATION

OPTIONAL DEMOGRAPHIC INFORMATION

AGREEMENT

Box Office

Information