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In this application form you will be asked for:

- Your name and address
- Your Eircode
- Your contact email and phone number
- Your website address (if you have one)
- Your PPS number
- The Local Authority area in which you live
- Confirmation that you meet the scheme qualifying criteria

- Your CV, including a brief statement on your artistic practice
- Up to 3 documents to evidence your practice to date

- What is the development/change you propose to make in your artistic practice?
- What would you specifically like to achieve through your participation in this scheme?
- Why is now the right time for you to take time/make this change?

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Plus non-obligatory questions on:
- Gender, ethnicity, disability and age

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Please have these items ready and to hand before filling out the application form.

NB: You may skip forwards and back to review your answers as you complete the form using the arrows beside "Powered by Typeform" at right below the application form.