Name

First Name

Last Name

Phone

(###)

###

####

Website

http://

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a 501(c)(3) non-profit organization?

Yes

Brief Description of Organization (if applicable)

Title of Program Which Would Benefit From Grant Funding

Project Narrative

Project narrative: Provide the name of your project, including how it will provide an artistic community benefit. Please include specifics on your artistic process, feasibility of completion and logistics. Also address advertising and marketing objectives and how you plan to achieve them.

Artist Statement

Artist Statement - description of your work and key ideas, goals or cultural practices that drive you to create

Artist Bio/Resume

Budget

Please attach a complete budget for the project, including all expected income and expenses.

Date Submitted

I certify that I am the person whose name appears on this application and the information contained in this report, including all attachments and supporting materials, is true and correct to the best of my knowledge.

YYYY