Artist and Creative EOI Application Form

Your Details

Full Name (required)

Email (required)

Contact Number (required)

Are you a City of Port Phillip resident? (required)

Yes
No

Please provide details about yourself, your experience and work (required)

Your Art or Creative

Act or Business Name (required)

Link to your website

Facebook Page

Instagram Account

YouTube or Vimeo Account

Please attach a supporting image

Consent

Consent for storing submitted data (required)

Yes, I give permission to store and process my data