RALLY Rural Innovators
Expressions of Interest
Name
*
First Name
Last Name
Organisation (if applicable)
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
If selected, do you consent for your contact details (email, phone and town) to be shared with the Rural Innovators network?
*
Yes
No
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About you
Website
Instagram
Facebook
LinkedIn
Please provide a short artist/organisation biography.
*
300 words max.
Why do you want to apply to the Rural Innovators program?
*
300 words max.
Tell us about the arts-led regeneration initiatives you or your organisation are involved in OR ideas you have to implement arts-led regeneration in your area.
*
300 words max.
Do you intend to apply for a bursary to attend the RALLY Regeneration Forum in Kandos (April 2026)?
*
Yes
No
I'm not sure
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Support Material
Please upload an artist headshot (artists) or a profile image/logo (organisations).
Browse Files
Drag and drop files here
Choose a file
(optional)
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Please upload some examples of your work (e.g. images of artwork, music recordings, photographs from performances etc.)
Browse Files
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Choose a file
1-10 images (optional)
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If selected, do you consent for these images to be used for promotional purposes (on the RANSW & RALLY partner's websites and social media)?
*
Yes
No
Is there anything else you would like us to consider when assessing your application?
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