application form - Shire of Augusta

Emergence Creative Festival 2017
SCHOLARSHIP ENTRY FORM
Entries Close 5pm Monday 20 February 2017
Receive your registration (Value $870) to Emergence Creative Festival 2017 for FREE
Submission requirements:
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Completed application form
100 words on why you want to attend
Sample of work in film content, photography, digital campaigns, music, innovative
design or tech ideas. Preference is for material that demonstrates a link to the Margaret
River Region.
All creative submissions will be considered. Entries from amateurs, seniors,
Indigenous and people with a disability are encouraged.
To be eligible applicants must:
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Be over 18 years of age for licensing purposes
Live in the Shire of Augusta Margaret River
Have less than three years’ professional experience in the creative field they are
demonstrating in their application
Be available to attend Emergence Creative Festival from 29 March – 1 April
Be willing to sign a photo release form and participate in media and marketing
opportunities as requested by the Shire of Augusta Margaret River
APPLICATION FORM
Name: ___________________________________________________________________
Date of Birth: _____________________________________________ (DD/MM/YYYY)
Address:_________________________________________________________________
Contact number: _________________________________________________________
Email: _______________________________________________________
Why do you want to attend Emergence 2017? (100 words or less)
Judging panel:
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A judging panel of Shire and external representatives will consider the applications for
with the winner announced by 5pm on Friday 3 March 2017
Submission delivery:
Email: [email protected]
Post:
Cristina Smith
Shire of Augusta Margaret River
PO Box 61
Margaret River WA 6285
Deliver: Shire of Augusta Margaret River
41 Wallcliffe Rd
Margaret River WA 6285
Closing date:
All submissions must be received by 5pm Monday 20 February 2017