Apply for the Rome residency Rome Residency Step 1 of 5 20% Personal DetailsName(Required) First Last Address(Required) Address Line 1 Address Line 2 City State Post Code Contact Phone NumberEmail(Required) Date of Birth(Required) DD slash MM slash YYYY Art Type(Required) Painting Drawing Sculpture Ceramics Multimedia Printmaking Your WorkUpload 6 works, each with title, dimensions, media, whether available for finalist consideration:Work Item 1 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Work Item 2 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Work Item 3 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Work Item 4 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Work Item 5 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Work Item 6 of 6Title(Required) DimensionsIn centimetres Media Year File(Required) Drop files here or Select files Accepted file types: pdf, jpg, png, jpeg, heif, gif, Max. file size: 5 MB, Max. files: 1. Your CV(Required)Upload your personal CV. Drop files here or Select files Accepted file types: pdf, doc, txt, docx, Max. file size: 5 MB, Max. files: 1. A statement of no more than 200 words, outlining why such a grant would assist you in the development of your career. You may specify any special needs (including financial) which would be met by this grant.Support Statement(Required) DeclarationsI declare that(Required) I am an Australian citizen or permanent resident(Required) ALL the information I have supplied is correct. Payment DetailsPayment Method(Required) Credit Card PayPal Direct Deposit Product NameApplication Fee Price: Total Credit CardCard Details Cardholder Name PayPalPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Total to pay is A$20 Please send your direct deposits to: William Fletcher Foundation BSB: 182 512 Account No.: 960826816 Please note the reference for the payment.Direct Deposit Payment ReferenceAdd your direct deposit payment reference to help us match transactions. You will receive the reference directly after you make the bank deposit. NameThis field is for validation purposes and should be left unchanged.
