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Submit a Workshop Application
Act Name
*
Contact Details
First Name
*
Last Name
*
Email
*
Mobile Phone
*
Home Phone
Postal Address
*
Suburb/City
*
State
*
QLD
NSW
ACT
VIC
SA
NT
WA
TAS
Not Australian Address
Postcode
*
Country (if not Australia)
Online Promo Links
Website
URL
Please enter your Website URL - it should be in the format http://www.yourwebsite.com
Facebook Link
URL
Please enter your Facebook Page URL - it should be in the format of http://www.facebook.com/yourprofilename or http://www.facebook.com/pages/yourprofilename/1234567890
Youtube Link
URL
Please enter a Youtube video link which gives an idea of your proposed workshop, and which can be used if on your website listing if your application is successful - it should be in the format of http://www.youtube.com/watch?v=y0uTubEiD
Vimeo Link
URL
Please enter a Vimeo video link which gives an idea of your proposed workshop, and which can be used if on your website listing if your application is successful - it should be in the format of http://www.vimeo.com/00000001
Emergency Contact Details
Emergency Phone Number
*
Emergency Contact First Name
*
Emergency Contact Last Name
*
Emergency Contact Relationship
*
Medical Conditions
Please list any medical conditions you have that should be known by the event organisers
About your Workshop
Workshop Type
*
- Select a value -
Academic
Arts
Community
Cultural
Environmental
Healing
Music
Spirituality
Visual
Other
Select which option best describes your proposed Workshop.
Presenter Name(s) for Online Listing
*
Enter the name(s) of the presenters as they should appear in event press. This will be used in online promotion if your application is successful.
Workshop Title
*
Enter the title of your proposed Workshop. This will be used in online promotion if your application is successful.
Workshop Duration
*
Less than 1 hour
1 hour
2 hours
3 hours
Longer than 3 hours
Photo
Please upload a photo of your Workshop. This will be used in online promotion if your application is successful.
Add a new file
*
Files must be less than
5 MB
.
Allowed file types:
png gif jpg jpeg
.
Images must be between
700x500
and
4000x4000
pixels.
Bio
*
Text formats options
More information about text formats
Text format
Filtered HTML
Plain text
Filtered HTML
Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.
Plain text
No HTML tags allowed.
Web page addresses and e-mail addresses turn into links automatically.
Lines and paragraphs break automatically.
Enter a succinct version of your bio - no more than 3000 characters. This will be used in online promotion if your application is successful.
Description / Synopsis
*
Text formats options
More information about text formats
Text format
Filtered HTML
Plain text
Filtered HTML
Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.
Plain text
No HTML tags allowed.
Web page addresses and e-mail addresses turn into links automatically.
Lines and paragraphs break automatically.
Please provide a brief synopsis / description of your proposed Workshop.
Names and Roles
*
Please provide a list of all people involved in your workshop and their roles.
Additional Photos
If you have additional photos for use in the selection and promotion process, please upload here.
Add a new file
Files must be less than
5 MB
.
Allowed file types:
png gif jpg jpeg
.
Images must be between
500x500
and
4000x4000
pixels.
Please list the days you are available to present
*
Date 1
Date 2
Date 3
Date 4
Any comments / questions / suggestions ?
Staging and Technical Requirements
Number of people presenting the Workshop
*
1
2
3
4
5
6
7
8
9
10
11
12
12+
Required Setup Time
*
Required Packdown Time
*
Technical Requirements
*
Do you have any requirements from the event for staging, lighting, power etc ?
Any special requirements
If you have any special requirements or considerations, please outline here.
Financial Info & Insurance
Fee Request
*
$
Requested Performance Fee
Fee Request Notes
Enter any fee request notes here - such as negotiable, non-negotiable...
Travel Arrangements & Costs
*
- Select a value -
I am based locally to the event
I am not based locally to the event but my set fee includes transport costs
I will require inter-state transport to the event additionally to the requested fee
I will require international transport to the event additionally to the requested fee
ABN
If you have an ABN, please enter it here.
GST
*
- Select a value -
Requested fee inclusive of GST
Requested fee exclusive of GST
Not Registered for GST
Please outline whether your fee request is inclusive of GST.
Do you have Public Liability Insurance?
*
- Select a value -
No
Yes
Public Liability Upload
If you have public liability insurance, please attach a copy of your insurance policy here.
Files must be less than
5 MB
.
Allowed file types:
txt pdf rtf doc docx xls xlsx zip rar jpg tif gif bmp eml odt
.
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