Public Galleries Queensland

Glenn R. Cooke Bursary Application

Please note the form must be filled out in one sitting, as there is no ‘save for later’ functionality. Please read the entire form and prepare your materials in advance of beginning to fill out the form.

Glenn R. Cooke Bursary application

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This field is for validation purposes and should be left unchanged.
Amount Requested*
for applicants registered for GST, this amount should be GST-EXCLUSIVE
Individual Applicant's Name*
Your organisation's name*
If you are an independent curator/artist you will be required to indicate your partner organisation here.
PGQ Membership Number (Institution)
Enter the membership number of your institution. If you are an independent curator/artist your partner organisation must be a current member of PGQ.
Your position/role*
Your contact number*
Your contact email*
Postal address for application correspondence*
Street Address Address Line 2 City State Post Code Country
Street Address
- As above
Street Address
Street Address Address Line 2 City State Post Code Country
If successful, will the bursary be paid to:*
- Your organisation
Is your organisation registered for GST?*
- Yes
- No
Has your organisation previously received a PGQ bursary?*
- Yes
- No
If so, which year?*
Date/s of Opportunity
Start Date*
End Date*
How will the opportunity improve your contribution to your organisation and benefit the gallery/museum overall? (200 words)*
How will the knowledge and/or skills acquired/delivered during the activity be shared with the gallery/museum sector? (200 words)*
Are you willing to share your experience with the wider gallery/museum sector in Queensland by speaking at a sector seminar or contributing to a blog on development opportunities, if requested by PGQ?*
- Yes
- No
If no, provide explanation
Breakdown of Costs
If the applicant is GST registered, PGQ will pay the bursary plus GST. Amounts in the Breakdown of Costs should exclude GST.

If the applicant is NOT registered for GST, amounts should include GST as this is part of the cost of the activity.
Income*
Source of Income Amount

Please list grants or subsidies, other income, your contribution/your organisation's contribution, and amount requested from PGQ
Total Income*
Total Expenditure and Total Income must be equal
Expenditure*
Expenditure Item Amount
Total Expenditure*
Total Expenditure and Total Income must be equal
Brief CV*
Max. file size: 256 MB.

Maximum 3 pages
Support letter from organisation
Max. file size: 256 MB.
CAPTCHA

Glenn R. Cooke Bursary application

X/Twitter
This field is for validation purposes and should be left unchanged.
Amount Requested*
for applicants registered for GST, this amount should be GST-EXCLUSIVE
Individual Applicant's Name*
Your organisation's name*
If you are an independent curator/artist you will be required to indicate your partner organisation here.
PGQ Membership Number (Institution)
Enter the membership number of your institution. If you are an independent curator/artist your partner organisation must be a current member of PGQ.
Your position/role*
Your contact number*
Your contact email*
Postal address for application correspondence*
Street Address Address Line 2 City State Post Code Country
Street Address
- As above
Street Address
Street Address Address Line 2 City State Post Code Country
If successful, will the bursary be paid to:*
- Your organisation
Is your organisation registered for GST?*
- Yes
- No
Has your organisation previously received a PGQ bursary?*
- Yes
- No
If so, which year?*
Date/s of Opportunity
Start Date*
End Date*
How will the opportunity improve your contribution to your organisation and benefit the gallery/museum overall? (200 words)*
How will the knowledge and/or skills acquired/delivered during the activity be shared with the gallery/museum sector? (200 words)*
Are you willing to share your experience with the wider gallery/museum sector in Queensland by speaking at a sector seminar or contributing to a blog on development opportunities, if requested by PGQ?*
- Yes
- No
If no, provide explanation
Breakdown of Costs
If the applicant is GST registered, PGQ will pay the bursary plus GST. Amounts in the Breakdown of Costs should exclude GST.

If the applicant is NOT registered for GST, amounts should include GST as this is part of the cost of the activity.
Income*
Source of Income Amount

Please list grants or subsidies, other income, your contribution/your organisation’s contribution, and amount requested from PGQ
Total Income*
Total Expenditure and Total Income must be equal
Expenditure*
Expenditure Item Amount
Total Expenditure*
Total Expenditure and Total Income must be equal
Brief CV*
Max. file size: 256 MB.

Maximum 3 pages
Support letter from organisation
Max. file size: 256 MB.
CAPTCHA

Source of Income	Amount

Expenditure Item	Amount

Source of Income	Amount

Expenditure Item	Amount

Glenn R. Cooke Bursary Application

Glenn R. Cooke Bursary application

Date/s of Opportunity

Breakdown of Costs

Glenn R. Cooke Bursary application

Date/s of Opportunity

Breakdown of Costs