Creative Impact Fund

Audience Engagement Project Grant ProgramFebruary 2017 Application

Applicant information (and organization information, if applicable)

Click on shaded areas and type in information.

  1. The applicant is a/an: [type X in front of your selected category]

individual artist

creative entrepreneur

nonprofit arts organization

  1. Applicant contact information:

Name

Mailing Address, City, Zip

Phone

Email

  1. If you are applying as a nonprofit arts organization:

Organization name

Grant contact (if different from applicant; the person who authorizes this request on behalf of the organization)

Grant contact title

Grant mailing address, City, Zip

Grant contact phone

Grant contact email

Annual operating budget (most recently completed fiscal year) $

The tax status of this organization is: [type X in front]

501(c)3

Fiscally sponsored

  1. Grant request amount $
  1. Project summary (max 25 words)

Section: Application Narrative questions

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  1. Applicants please respond in the appropriate applicant category.
  1. For individual artists, briefly describe your art form/artistic discipline, how long you have been in practice, and your primary activities.
  2. For creative entrepreneurs, briefly describe your creative arts business, when it was founded, and its principal activities.
  3. For nonprofit arts organizations, briefly describe your organization’s mission, when it was founded, and its principal activities.
  1. Describe your current audiencebase.Describe the segment or type of audience you want to engage with in this project and describe whythis audience is a target for you.
  1. Describe your project: the idea, event, program, initiative, or strategy you believe will engage/connect with this audience. What is the time frame of this project? What do you consider success from this effort? How do you plan to measure that success?
  1. If applicable, explain the qualifications and background of the consultant providing professional services. If you are hiring a consultant, please attach a resume or bio, and a signed letter of agreement, contract, or fee estimate. (See the section on attachments.)
  1. Describe any alternate plans for this activity if you are not awarded this grant or if you receive only partial funding. If applicable, list other funding sources you have sought or are seeking and indicate the status of your applications (submitted, pending, etc.)

Section: Project budget

  1. Please include a very brief budget (include income and expenses) addressing these items:
  2. Personnel
  3. Materials/Supplies
  4. Services
  5. Other (please specify)

Begin typing budget information here:

Section: Attachments

If applying as nonprofit arts organization, please attach:

  • Organization 501(c)3 letter
  • If fiscally sponsored, the fiscal sponsor’s tax ID number and contact information

If requesting a consultant, attach:

  • Consultant’s resume or bio
  • Signed letter of agreement, contract, or fee estimate

Audience Engagement Project Grant Program Application Feb 20171