OZ - Application Form

Name:
Address:



Resident in which London borough?



Postcode:
Phone:



Email:

How long have you been practicing as an artist?  Please circle.

0 – 3 years	3-5 years	5-10 years	10-15 years	15 – 20 years	  20+ years


Which of the following describes your practice?  Please circle as many as 
required.

Painting	Sculpture	Installation	Live Art / Performance   Photography

Printmaking	Contemporary Crafts	 New Media	Sound / Sonic Art 	

Other (please describe)


How did you hear about this opportunity?

Artquest website		Artquest e-letter	Print Ad (name magazine)

Other e-letter (name e-letter)	Word of Mouth	Other (please describe)


Please use the space below to describe, in 500 words or less, why you are 
applying for this residency and why it would be advantageous at this stage in 
your practice.  Please include information on what you would like to achieve 
during the residency, or a programme of work you may undertake.














Application checklist - Please insure your application includes the following. 
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

*	Completed Application form
*	Equal Opps form (attached)
*	Maximum 2 page CV
*	SAE for return of material, if desired
*	Supporting Material – we will only accept the following:
*	Up to 8 digital images / digital slides (PC compatible CD / DVD only)
*	Up to 10 minutes of moving image work (PC compatible CD or DVD only) 
*	Up to 10 minutes of sound work – (PC compatible CD/ DVD only)

Please do not send:
*	Catalogues / leaflets
*	Books
*	Cassettes / VHS
*	Slides
*	Prints

Please also ensure you have signed the declaration at the end of the 
application.

Artquest cannot accept responsibility for the safe return of supporting material.  
Please do not send any originals.  Work can only be returned if you enclose an SAE 
with correct postage with your application.

Application deadline – Friday 4 July 2008. 
LATE APPLICATIONS WILL NOT BE ACCEPTED.

Applications to be sent to:

OZ
Artquest
University of the Arts London
65 Davies Street
London
W1K 5DA

Declaration:

I declare that all information contained in this application is correct to the best 
of my knowledge.  I further declare that I am available for the full period of the 
residency period (15 September 2008 - 19 December 2008) and, if selected, will 
reside in Australia for this period. 

Signed:						Date:

_________________________________		_____________________



EQUAL OPPORTUNITIES MONITORING FORM

In order for us to monitor how the artists that use our services reflect the diversity of London, 
please complete this form. We will not share the information with other organisations or 
individuals and all data will remain anonymous. This form will be separated from your 
application. Please choose the words that best suit you, or add your own if necessary.

For: OZ residency

Disability
The Disability Discrimination Act defines a disability as ‘a physical impairment which 
has a substantial and long-term effect on a persons ability to carry out day to day 
activities’.

By this definition, do you consider yourself to have a disability?

Yes						No


Gender

Female						Male


Ethnic Background
Please choose those words that best suit you, ticking more than one box if necessary.

African
(Please say which country)


Caribbean


East Asian
(Please say which country)


South Asian
(Please say which country)


English / Scottish / Welsh


Irish


Other European		
(Please say which country)


Latin American					
(Please say which country)


Other
(Please describe)