Analogue Farm Artist Residency Application
Submit this form by Saturday 30th April 2022
Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
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Current Address
*
Street Address
Street Address Line 2
Town/City
County
Post Code
Email Address
*
example@example.com
Phone Number
*
Confirm availability for a 4 week residency in June, August or September 2022 and state your preferred month/time period
*
Upload a pdf portfolio of your work or a website link
*
Browse Files
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Choose a file
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Upload a one page CV
*
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Please provide the contact details of two professional referees who will only be contacted if you are selected for interview
Please briefly describe your current work
*
0/250
What project do you propose to carry out at Analogue Farm?
*
0/500
What community workshop will you offer? Please provide a rough budget for materials, duration of the workshop, target age range and ideal number of participants.
*
0/500
How does your project relate to Analogue Farm's ethos and aims?
*
0/350
Why will undertaking this residency now help you develop your practice?
*
0/350
How did you find out about this residency?
*
0/350
Please fill out the equal opportunities form below
This is a voluntary section. Please note, we will store applications electronically for one year. The data contained within your application will not be used for any purpose other than short-listing, running, and evaluating the residency. We will not share your details with any third parties without obtaining permission from you to do so.
Gender
Female
Male
Intersex
Non-binary
Prefer not to say
You prefer to use your own gender identity
Is the gender you identify with the same as you were assigned at birth?
Yes
No
Prefer not to say
Age
18-24
25-29
30-39
40-49
50-59
60-65
65+
What was the occupation of the main earner in your household when you were about 14?
Modern professional and traditional professional occupations such as teacher, nurse, physiotherapist, social worker, musician, police officer(sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil/mechanical engineer
Senior, middle or junior managers or administrators such as finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager
Clerical and intermediate occupations such as secretary, personal assistant, call centre agent, clerical worker, nursery nurse
Technical and craft occupations such as motor mechanic, plumber, printer, electrician, gardener, train driver
Routine, semi-routine manual and service occupations such as postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff
Long-term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)
Small business owners who employed fewer than 20 people, such as corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner
Other such as retired, this question does not apply to me, I don’t know
I prefer not to say
If you finished school after 1980, were you eligible for free school meals at any pointduring your school years?
Yes
No
Not applicable (finished schoolbefore 1980 or went to schooloverseas)
Prefer not to say
I don't know
Which type of school did you attend for the most time between the ages of 11 and 16?
State-run or state-funded school
Independent or fee-paying school
Independent or fee-paying school,where I received a means-tested bursary covering 90% or more of the overall cost of attending throughout my time there
Attended school outside the UK
I don’t know
Prefer not to say
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