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Artist Name

Email

Phone

I identify as Aboriginal and/or Torres Strait Islander?

I identify as living with a disability

Housing Provider

Youth Entrants (18 & Under)

Framed/ Hanging

3D/ Sculpture

Photography, Digital, & Graphic Art

Poetry & Literature

Emerging Artisits (18 & Over)

Framed/ Hanging

3D/ Sculpture

Photography, Digital, & Graphic Art

Poetry & Literature

Established & Mid-career Artists

Framed/ Hanging

3D/ Sculpture

Photography, Digital, & Graphic Art

Poetry & Literature

Artwork Title

Year Artwork was completed

List the mediums used to create the Artwork

Was this artwork a collaborative effort?

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