EmailMe Form - Artists in Schools Application-Due Nov. 30, 2021

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 how your project will integrate with the stated grade level curriculum (main purpose and skills the students will observe and develop). *
B. How will the project enhance the current curriculum? *
C. Number and grade level of students served *
D. Describe the teacher’s classroom preparation with students prior to teaching artist’s visits. Please state required preparation by teacher before project implementation. *
E. How will success be measured? Please describe your grade level evaluation tools. (Before and after survey, essay on the project, quizzes, etc.) *
BUDGET
Artistic Fees:
How much per hour ($50/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