Beginning with the October 1, 2012 funding cycle, all grants applications must be on this form.
Projects/Programs must be held between October 1, 2012 and August 15, 2013
Funding Request must be between $500 - $3,000
FOR OFFICE USE ONLY
Grant Number
Date Received
Amount Requested
______________
Online form does not save work. You may want to print form and complete then enter the information online.
Project to be held in the following city.
Bedford Haltom City North Richland Hills Southlake Colleyville Haslet Richland Hills Trophy Club Euless Hurst Roanoke Watauga Grapevine Keller Saginaw Westlake
Funding request amounts must be between $500-$3,000
Amount Requested *
Individual Eligibility
Artist(s) / Band Name: *
Address *
City *
State *
Zip Code *
Phone *
Phone ext.
E-mail Address *
Website:
Project Title
Check the art form(s) which best describe(s) your professional artistic focus:
Literature Visual Arts Film Performing Art Other Media Arts
Check the type of performing art Genre:
Classical Blues Heavy Metal Jazz Rock Traditional Country Hip-hop Reggae Other Popular Rock & Roll
Do you have a two-year history of work in the project art form? *
Yes
No
Key Statistics:
Information on Audience Targeted by your Proposal
This proposal intends to involve or serve (select all that apply)
Cultural Tourism Economically disadvantaged At-risk youth Presenting or touring Children/Youth Health and Healing
Proposal Narrative (one page maximum)
State the project, its goals, and community impact, as well as how you will determine if the objecti *
How will you market your project? *
Approximately how many people will be served directly by this proposal? *
IF YOU ARE NOT APPLYING FOR A TEACHING GRANT PLEASE SKIP THIS SECTION
Specific classes/courses that I would like to teach.
Have you ever taught children? *
Yes
No
Class Size
Provide Project Objectives: What will students learn and be able to do as a result of this grant?
Key Statistics
Education Audiences Targeted:
Not Specifically Focused on Education (none) (%) *
Pre-Kindergarten Children (%) *
K-12 Education (%) *
Higher Education (%) *
Adult Learners (%) *
Applicant may be required to pass a background check.
(Required For All Applicants) I certify that, to the best of my knowledge, the applicant fully meets all the eligibility requirements for 2012/2013 Grants and the data in this application and any attachments are true and correct.
I certify
Yes
Social Security/Tax ID Number *
Please be sure you have completed ALL fields before submitting this form. If a required field is left blank, you will receive an error message. A red astericks will show where a correction or completion must be made before you submit again. You will also need to re-enter a new image code before resubmitting.
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