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Form
Golden Spaces Expression of Interest Webform
Golden Spaces Expression of Interest Webform
Current
Artist Details
Upload Photos of Artworks
Artist Agreement
Privacy Statement
Complete
Artist Details
First Name
First Name
Last Name
Email
Address
Address
Township
Phone Number
Age
6-11
12-17
18-24
25-49
50+
Do you identify as
Female
Male
Non-binary
Self-described
Do you identify as
Aboriginal
Torres Strait Islander
Both
Neither
Please provide any website/social media channels for your artwork/s (if applicable)
Artist biography (tell us about you and your art practice) (max 100 words)
Would you be interested in running artist workshops?
Yes
No
Upload Photos of Artworks
Please upload photos of artworks (minimum of 2 images must be uploaded)
Please note, images must be 300 DPI.
Please name each image file title as 'image 1', 'image 2' etc.
Maximum 3 files.
64 MB limit.
Allowed types: gif jpg jpeg png.
Image 1 Details
Work 1 Title
Year
Medium (e.g. oil on canvas)
Dimensions (unframed)
Dimensions (framed)
Artist statement about the artwork (max 100 words)
Would you like your artwork to be listed for sale as part of this program?
Yes
No
Please indicate your desired sale price for the artwork
Image 2 Details
Work 2 Title
Year
Medium
Dimensions (unframed)
Dimensions (framed)
Artist statement about the artwork (max 100 words)
Would you like your artwork to be listed for sale as part of this program?
Yes
No
Please indicate your desired sale price for the artwork
Image 3 Details (Please only complete if third image has been provided)
Work 3 Title
Year
Medium
Dimensions (unframed)
Dimensions (framed)
Artist statement about the artwork (max 100 words)
Would you like your artwork to be listed for sale as part of this program?
Yes
No
Please indicate your desired sale price for the artwork
Artist Agreement
I understand this is a submission only for Golden Spaces and does not guarantee my work will be accepted into the exhibition.
I understand if my work is accepted for an exhibition, I will be sent an Exhibition Agreement which includes the Terms and Conditions, and this must be agreed upon and signed in order to participate in a Golden Spaces Exhibition.
Privacy Statement
Privacy Statement
Personal information collected on this form will be used by Council's Arts, Culture and Facilities Teams for the purpose of seeking Expressions of Interest to exhibit at our Golden Spaces exhibitions. Council may disclose your information to other internal departments in order to assist in planning and will not disclose your information to any external party without your consent, unless required to do so by law.
Golden Plains Shire Council is committed to protecting all personal and sensitive information consistent with the Information Privacy & Health principles set out in the Privacy and Data Protection Act 2014 and the Health Records Act 2001. You have the right to access your personal information and make any necessary corrections. If you have any queries or wish to gain access to amend your information please contact Golden Plains Shire’s Privacy Officer on (03) 5220 7111 or
[email protected]
.