EmailMe Form - Artists in Schools Application -Due Nov. 30, 2019

EmailMeForm

Project Title: *
Amount Requested
max request $2000. *
This is our first application to AIS: *
Yes
No
If no, the previous application:
Was Funded
Was Not Funded
We have received AIS funding (quantity) times.
If none insert 0
Names and Contact Information:
Please note that the lead contact person will receive all correspondence from our office.
Lead Contact Person *
First Last
Lead Contact Phone *
### - ### - ####
Lead Contact Email *
Lead Contact Address for correspondence *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Teaching Artist's Name *
First Last
Teaching Artist's Discipline *
Teaching Artist's Phone *
### - ### - ####
Teaching Artist's Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Collaborating Teacher's Name *
First Last
Teacher's Position *
School Name *
School Principal's Name: *
First Last
Additional School Name
School Principal's Name:
First Last
Additional School Name
School Principal's Name:
First Last
Description of Project
Provide the following:

A. Describe the overall concept of the project, including its main purpose and the skills the students will observe and develop.
B. How will the project enhance the current curriculum?
C. Number and ages of students served ____ _____
D. Describe the teacher’s classroom preparation with students prior to teaching artist’s visits.
E. How will success be measured?
Description *
Budget
Artistic Fees:
How much per hour ($35/hour recommended) *
How many hours? *
List Supplies & Materials
and their approximate cost: *
Please describe any in-kind
contributions
(such as donated materials) *
If awarded a lesser amount than requested can you still complete the project? *
Yes
No
If yes, how will that alter the project? If no, please insert N/A *
Please Supply a Current Resume *
Acceptable formats: pdf, doc, docx or txt
Are you currently an Arts Council member? *
Yes
No
Checking this box acts as my electronic signature *
I verify all information in this application is correct
Email

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Names and Contact Information:

Please note that the lead contact person will receive all correspondence from our office.

Description of Project

Budget