Arts Program Grant for OrganizationsFiscal Year 2019

The Program Support Grant's online application follows the outline below. The outline acts as a guide for writing the grant and articulates grant specific attachments. When submitting the hard copy of the grant packet, collate the grant packet in the order of the grant outline.

NOTE: For the application to be eligible for consideration, all question items must have a response, even if the response is N/A.

SECTION 1 - ORGANIZATION PROFILE:( * - required field )

1.A. Organization's Name:

1.B. Do you have a physical (non PO Box) address in the City of Alexandria?

Yes

No

1.C. Has your address changed in the last 12 months?

Yes

No

Address:

City:

State:

Zip:

1.D. Contact Person for this Grant:

Title:

1.E. Email Address:( a copy of your application will be sent to this email address ) :

1.F. Telephone (day):

1.G. Telephone (evening):

1.H. Organization's Website:

1.I. Founding Date:

1.J. VA Tax Exempt Number:

1.K. Date on which IRS Issued Letter of Determination for Non-Profit Status:

1.L. Fiscal Year Start and End Dates: (must be within the grant period July 1, 2018 to June 30, 2019)

Start:

End:

1.M Provide a brief description on your grant request - what will the funding be used for?(Please review the online list of ineligible activities supported by this grant). 100 word limit.

1.N What is the organization's mission and vision? (300 word limit)

1.O What are the organization's top three recent accomplishments?(300 word limit)

I declare that I am authorized to act for the above applicant. I submit this grant application to the City of Alexandria and confirm that the information contained herein is accurate to the best of my knowledge and belief.

Yes

SECTION 2 – FUNDING REQUEST:

2.A. Program Title:(15 words).Please review online the list of ineligible activities supported by this grant.

2.B. Program Grant Request Amount(Grant funding up to $7,500 and shall not to exceed 50% of the program's total budget):

2.C. Program Budget (Total Cash Income Budgeted during the grant period):

2.D. What Percentage of the Program Budget is this Request?(not to exceed 50%)

2.E. Have you received a grant from the City of Alexandria in the past three years?

Yes

No

2.F. Were you able to meet your funding obligations? (200 words)

2.G. if you were not able to meet your funding obligation, what fiscal year was this and what was the reason? (200 words)

SECTION 3 - ARTISTIC CONTENT

3.A. PROGRAM ACTIVITIEWS AND GOALS

3.A.1. Program Start and End Dates: (must be within the grant period July 1, 2018 to June 30, 2019)

Start:

End:

3.A.2. Provide a brief description of your program request - what will the funding be used for? (200 word limit)

3.A.3. Describe your program's goals and desired outcomes, and how the activities and programs during the grant period will help to achieve these goals. Be specific and reference the Program calendar.(400 word limit)

3.A.4. Select which of the below goals from the City’s Arts and Culture Plan this program helps achieve.

Achieve equity, inclusion and access for the arts, cultural and creative endeavors.

Facilitate opportunities for innovation and collaboration.

Support and foster a sustainable and diverse community of the arts.

Be a convener and facilitator for artistic cultural expression.

3.A.5. Describe how the program’s above stated goals and activities align with the selected goals from the Arts and Culture Plan. (400 words)

3.A.6. If this is a new program, provide past examples of executing activities similar to this request. If this is an ongoing program, provide examples of how you have been successful in implementing the program so far. (400 words)

3.B. - INNOVATION AND ORIGINALITY3.B.1 What makes this program different from other programs being offered by other groups in the City of Alexandria? (300 words)

3.C. – WORK SAMPLES

3.C.1. Describe how and why the content of the uploaded work sample(s) best represent(s) yourprogram. Describe how this work delivers excellence and achieves stated goals. (300 word limit)

SECTION 4 - IMPACT AND ENGAGEMENT:4.A.Expected number of individuals served by this program grant request during the grant period:

4.B. Define your target audience/participants. How will the Program's activities be marketed to the specific target audiences and to reach new/diverse audiences/participants? (300 words)

4.C. How will the program’s activities during the grant period provide opportunities for citizens of the City of Alexandria to engage with the arts in a meaningful way? (400 words)

4.D. Describe the methods used to track participation in the program’s activities and document the impact on individuals. If this is an ongoing program describe changes implemented to ensure the program’s continued growth as a result of your evaluation processes.(300 words)

4.E. Describe how your program's activities promote inclusion, diversity, equity and access. Demonstrate the program's intentional efforts and commitment to ensuring parity in audiences and participants.(400 words)

4.F. If partnerships are involved in any of the program activities or efforts discussed above, note them with relevant details such as financial, resource sharing and/or in-kind. If not, explain why. (300 words)

SECTION 5 - BUDGET AND MANAGEMENT:5.A. BUDGET

5.A.1 Final Cash Income for organization’s most previous completed Fiscal Year:

5.A.2 Final Cash Expenses for organization’s most previous completed Fiscal Year:

5.A.3. Total Program Budget for this grant period (Cash Income and Expenses must match):

5.A.4 Please provide an overall narrative explanation of the program budget. (400 words) Explain any income or expenses listed in the “other” category on the budget worksheet that are greater than $1,000. Indicate any additional information you think the grants panel should know about the organization’s financial position and/or Fiscal Year budget.

5.B MANAGEMENT

5.B.1 Expected number of full-time employees paid by this grant or in part. Include full-time equivalent of part-time employees:

5.B.2 Expected number of full-time employees paid by this grant or in part that reside in the City of Alexandria. Include full-time equivalent of part-time employees:

5.B.3. If your organization does not receive full funding of your request, describe how your organization will be able to fulfill the obligations of the grant i.e., what changes will need to be made to the operations, programs, services or event?(300 word limit)

REQUIRED ATTACHMENTS:

Attach the organization's letter of determination for the non-profit status as a 501c 3 organization:(File size must be less than 2MB ) *
List of Key Personnel with Bios (Artistic/Managing/Executive Directors, Arts Educators, etc.)Paragraph for each, not resume(s) with addresses ofpersonnel(save as one PDF, then upload. File size must be less than 2MB )
List of Board Members with roles (Treasurer, Secretary, etc) with Bios.(save as one PDF, then upload. File size must be less than 2 MB)
Upload the completed Program Budget Form here: (Use the Program Budget Formtemplate.File size must be less than 2MB )
Upload program calendar (useCalendar Template).

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SUPPORTIVE MATERIALS:

Supportive Materials 1: Up to three internally produced materials such as brochures, marketing materials, etc. (Save as one PDF, then upload. File size must be less than 2MB )
Supportive Materials 2: Externally provided support materials such as press/reviews, letters of support, social media feeds, etc. (Save as one PDF, then upload. File size must be less than 2MB)

WORK SAMPLES:

Work Samples and Image Identification List.(Save as one PDF, then upload. File size must be less than 5MB)

GUIDELINES:
Visual Arts Organizations: Submit 20 digital images of different works.
Create an Image Identification List of images submitted. Arrange the list in the order you wish to be viewed. For each image, include the artist’s name, artwork title, medium, size, year completed. Digital files should be numbered to correspond with the Image Identification List. If you would like to include video files (in addition to the 20 images) upload the files to an online source (youtube, vimeo, etc) and include the links in the Image List.*
Performing Arts Organizations (Dance /Theater): Submit two video recordings of performances.
Performing Arts Organizations (Music): Submit two audio or video recordings of performances.
(Optional – Submit up to 10 digital still images of performances/productions)
Create a File Identification List of work submitted. Arrange the list in the order you wish the files to be viewed. For each file, include the performance title, year performed, and brief description of the work. Digital files should be numbered to correspond with the Image Identification List. Video files should be uploaded to an online source (youtube, vimeo, etc.) and include the links in the image list. If performance starts mid-video, please list the start and finish time you wish the reviewer to watch.*
*If videos require a login to view, provide necessary login information in the image/file list.

APPLICATION SUMMARY

Thank You!

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