Summer School on Collaborative Practice and Social Change 2023Summer School on Collaborative Practice and Social Change 2023Step 1 of 250%Please ensure that you have all the information that you will need to fully complete this form to hand, including all supporting material. Our guidelines document contains clear instructions on the information you will need, in order to complete the form. You can save your application part-way through and access it again within 30 days, but remember that you must submit in full in advance of the deadline. If you have technical issues using this form, contact info[at]create-ireland.ie with your query. Deadline: 5pm, Wednesday 5 April 20231. GeneralName of Artist* First Last Address* Address Line 1 Address Line 2 City County/ State Eircode/ Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Pronoun(s)Telephone*Email* Enter Email Confirm Email Location of Artist (local authority area)*Website/Social media handles*1.2 Artforms/ art practices relevant to your application* Architecture Visual arts Theatre Circus Dance Film Literature Music Opera Spectacle Street Arts Traditional Arts More than one artformie visual arts as the dominant artform, with danceIf more than one artform please explain artform balance:1.3 Social context relevant to your application*Indicate which social context is relevant to your application (one only) arts and disability communities of place prisons / justice arts and health cultural diversity intergenerational communities of interest older people otherIf other, please state:If other, please state:1.4 Career stage*In line with Create's and the Arts Council's commitment to supporting artists at key stages of their career, which if the following (if any) best describe where you see yourself in your career? Early Stage/ Emerging Mid Career Established I don't identify with any of these Prefer not to say1.5 Equality, Human Rights and Diversity In line with the Arts Council's Equality, Human Rights and Diversity Policy and Strategy, we have included some questions below which help us to understand more about the artists and individuals we are engaging with. This information has no bearing on your application's assessment, and is purely for internal reporting and analysis. Data collected will only be used in an aggregated, anonymised fashion. In line with GDPR regulations, your information will not be shared with any third parties. See Data Protection (section 4) in the Guidelines document. In your own words, please fill in the blanks:Gender* female male non-binary prefer not to sayEthnicity* Black or Black Irish – African Black or Black Irish – any other Black background White Irish Any other White background Asian or Asian Irish – Chinese Asian or Asian Irish – any other Asian background Irish Traveller Mixed ethnic group (please state which) Any other ethnic group (please state which) Prefer not to sayMy native language is:*Do you consider yourself to have a disability?* Yes No Prefer not to say1.6 For the purposes of monitoring*Please indicate if Create provided advice to either the community or the artist regarding this application/proposal: NO, we did not seek or did not receive support from Create YES, we sought and received support from CreateIf YES, how was Create’s advice received? By phone By e-mail In person/ video meeting At an eventWhy are we asking for this information? a) To ensure best practice in terms of inclusivity and diversity b) To provide more personalised support to individual applicants c) To inform us of the general landscape in the collaborative arts 2. Uploading application and supporting materialIMPORTANT: If you do not submit the required supporting material, your application will be deemed ineligible.2.1 Your expression of interest*Max 3 A4 pages (see guidelines for Expression of interest - guidance note) Drop files here or Select filesAccepted file types: rtf, doc, docx, txt, pdf, Max. file size: 128 MB.2.2 Your CV*Max 3 A4 pages, to give a sense of previous projects. Drop files here or Select filesAccepted file types: rtf, doc, docx, txt, pdf, Max. file size: 128 MB.2.3 Your 300-word statement*Please include (A) a biography outlining your current preoccupations as an artist and (B) a statement of practice outlining your experience of collaborative socially engaged practice, and your collaborative methodology (how you engage with communities). Drop files here or Select filesAccepted file types: rtf, doc, docx, txt, pdf, Max. file size: 128 MB.2.4 Your support materials*PDF/word doc with up to 5 images or examples of recent projects with short descriptions. If you have relevant links to images and videos, please include them within these examples. Drop files here or Select filesAccepted file types: rtf, doc, docx, txt, pdf, Max. file size: 128 MB.Artist Name*Date* DD slash MM slash YYYY Artist Signature*Please upload an image of your signature Drop files here or Select filesAccepted file types: jpg, png, pdf, tiff, Max. file size: 16 MB, Max. files: 1.ChecklistPlease ensure that you have provided: Proposal CV and/or Biography Support Materials3. Contact Opt-inI agree to allow Create to store my contact details on a database held for these specific purposes.*Please note that basic contact information you provide may appear in a database we use to inform beneficiaries and service users about our activities. This includes sharing information with you via an eBulletin and connecting with you by email to organise and promote events relevant to collaborative arts practice and participation in the arts. Yes No
