APPLICANT CONTACT DETAILS Name Title Title - Select -MissMsMrMrsDrOther… Enter other… First Name Last Name Organisation (where relevant) Address Address City/Town Post Code Contact no. Email Contact no. ABN Website (if applicable) EXHIBITION PROPOSAL WHO? Who is involved? The skills, knowledge, and capacity and range of the participating artists. Please provide names and roles where possible. WHAT? Provide details of what you propose to do – what is your exhibition theme, what will the artwork be... WHY? Your curatorial concept: The reason why you have selected these works and/or artists and the links to your themes, why relevant Applicant Bio Please provide a short biography for the lead artist / Curator highlighting their skills, knowledge, and capacity to deliver. Artwork Examples Provide up to 5 samples of participating artists’ artworks that will be included. Please attach as jpeg files. *Provide the artist name, title of the artwork, medium of artwork, and the year created if an existing work. Otherwise provide a concept draft of a yet to be made work per artist. Artwork Sample 1 One file only.64 MB limit.Allowed types: gif, jpg, jpeg, png. Artwork Sample 2 One file only.64 MB limit.Allowed types: gif, jpg, jpeg, png. Artwork Sample 3 One file only.64 MB limit.Allowed types: gif, jpg, jpeg, png. Artwork Sample 4 One file only.64 MB limit.Allowed types: gif, jpg, jpeg, png. Artwork Sample 5 One file only.64 MB limit.Allowed types: gif, jpg, jpeg, png. *Please provide the Artist name, title of the artwork, medium of artwork, and the year created if an existing work. Otherwise provide a concept draft of a yet to be made work per artist. Which exhibition period would you prefer? September 2024 – February 2025 March 2025 – August 2025 BUDGET Please fill in the table below with your budget costings, the total not exceeding $8,500. Please include any other monetary or in-kind contributions. *Note: City of Darwin refers to NAVA when paying artist fees https://visualarts.net.au/ Curator Fee Curator Comment/Details Artist Fees x10 Artist Fees x10 Comments/Details Documentation (photo/video) cost Documentation (photo/video) comment/details Administration Cost Administration Comments/Details Other: i.e launch event (catering, tech hire, artwork postcard printing) Cost Other: i.e launch event (catering, tech hire, artwork postcard printing) Comment/Details Other (i.e in kind support, other income provided) Cost Other (i.e in kind support, other income provided) Comment/Details TOTAL COST