Basic Contact Information

    Name

    Street Address

    CityStateZipCode

    Summary

    Please succinctly describe/summarize your project and financial need:

    Funding Required and Complete Proposal

    What are you hoping to do? Project name/description:

    Total dollar amount requested

    Date(s) funds are needed or will be used:

    Additional Dates (If Needed)

    What exactly will this grant cover? (Tuition? Travel? etc.):

    Why is this important to you?

    Will anyone besides yourself benefit from this? Explain.

    Please provide a hard copy or scan of the item or event for which you want funds, which includes the total cost. Please combine into one file for a single upload. (brochure / invoice – and/or – website screen shot / URL).

    This is a need-based grant. Please describe why you believe you qualify for these funds on the basis of financial need. Include supporting documentation (like tax returns for you/parent), if possible. Please combine into one file for a single upload.


    Special Skills or Qualifications

    Summarize special skills and qualifications you have acquired from education, employment, previous volunteer work, or through other activities, including hobbies or sports which are relevant to this project. Also, please upload a resume using the upload tool below


    Volunteer Experience

    Applicants must have completed at least 4 hours of community service (non-musical performance) to a non-profit 501 c 3 arts or cultural organization for each $250 of aid requested (prior to receiving aid.) Please summarize your volunteer experience – what you did and how was it beneficial or meaningful. Also, include the name and contact information of whom you worked with (supervisor).

    Organization Name

    Organization Address

    Supervisor

    Organization Phone Number

    Organization Email

    Summary

    Project Budget

    List all expenses and source(s) of income)

    Itemized Project Cost (describe & list $)

    Itemized Project Cost (describe & list $)

    Itemized Project Cost (describe & list $)

    Total Project Cost

    Amount of Grant Requested

    Source and Amount of additional funding

    Source and Amount of additional funding

    Source and Amount of additional funding

    Source and Amount of additional funding

    Checklist

    Letter of Interest emailedApplication completed and submittedVolunteer hours completed

    Agreement and Signature

    By typing my name and submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am awarded a grant, any false statements, omissions, or other misrepresentations made by me on this application will result in ineligibility.

    Signature

    Date

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