Online Form - Artwork Selection Working Group – Expression Of Interest

Name*

Residential address*

Business address*

Contact email*

Contact Mobile:

Alternative contact (email/mobile)

Are you a rate payer?*

YesNo

What gender do you identify as?*

Do you Identify as Indigenous / First Nations / Aboriginal or Torres Strait Islander?

YesNo

If you answered yes to the previous question, can you please let us know your language group?

Please summarise your connection to Onslow and the surrounding region (approx. 200 words)*

Please summarise your relevant connections to community / community groups / etc. (approx. 200 words)*

Do you have any artistic experience? Please summarise (approx. 200 words)*

What ideas, stories, messages, and themes etc. do you think the water tank should reflect? (approx. 200 words)*

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