First Name

Last Name

Email Address

Phone Number

Current Address & Postcode

Website Link

Social Media Links

Artist Statement - Please provide a description of your practice, inspiration and specify the medium in which you work.

What type of space will you require to display your work? What type of space will you require to display your work?WallFloorTablePlinthsCombination

Have you exhibited your work during h.Art before? Have you exhibited your work during h.Art before? YesNo

If ‘yes’ which venues and which year?

In what way will the h.Art prize award support the development of your practice?

If you sell your work, what is the price range (excluding greetings cards)? PLEASE INCLUDE PRICES FOR YOUR SMALLEST AND LARGEST WORKS

Signature Name

Date Signed

PLEASE TICK BOX TO SIGN PLEASE TICK BOX TO SIGN Please tick to sign this application form and confirm that I am happy for Old Mayor's Parlour to use this information inline with their privacy policy to complete my application for this prize.

We need some additional documents to go with your application form which you can upload below. Please tick to confirm that you have added these if you gave them. (ALLOWED FILE TYPES ARE PNG, JPG, JPEG or PDF) We need some additional documents to go with your application form which you can upload below. Please tick to confirm that you have added these if you gave them. (ALLOWED FILE TYPES ARE PNG, JPG, JPEG or PDF) Six current images of your work (max total upload 20MB) Current Public Liability Insurance Certificate if you have one.

Upload image 1 Upload image 1

Upload image 2 Upload image 2

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Upload image 5 Upload image 5

Upload image 6 Upload image 6

Current Public Liability Insurance Certificate Current Public Liability Insurance Certificate

Name

Email Address

Message