AiRSpace (artist-in-residence) program application

Please complete all questions below.

Your details

First name *

Last name *

Email address *

Telephone *

Postal address *

Address *

City *

State *

Postcode *

Please provide some information about yourself and your art practice. *

What would you like to achieve through an AiRspace residency? *

When would you like to undertake a residency? *

Is there anything else you would like to share, or do you have any questions? *

I consent to the Southern Midlands Council using my information to fulfill my request. View the Southern Midlands Council privacy policy. *