Name:

Question Title

* 1. Name:

Email:

Question Title

* 2. Email:

Address:

Question Title

* 3. Address:

Website or link to recent artistic work:

Question Title

* 4. Website or link to recent artistic work:

Provide a brief 100 - 300 word bio of your arts practice:

Question Title

* 5. Provide a brief 100 - 300 word bio of your arts practice:

Why are you interested in undertaking a residency?

Question Title

* 6. Why are you interested in undertaking a residency?

Why are you interested in undertaking a residency at ACCOMPLICE in Darwin, NT?

Question Title

* 7. Why are you interested in undertaking a residency at ACCOMPLICE in Darwin, NT?

What open door community activities would you be interested in during your residency?

Question Title

* 8. What open door community activities would you be interested in during your residency?

What length of residency would you be interested in and what time of year suits you best?

Question Title

* 9. What length of residency would you be interested in and what time of year suits you best?

Have you or do you plan to access any funding support for this residency? If so provide details. What do you require from ACCOMPLICE?

Question Title

* 10. Have you or do you plan to access any funding support for this residency? If so provide details. What do you require from ACCOMPLICE?

T