Project Grant Application Form Project Grant Application Applicant Type* Individual/Artist Organization Grant Type* Artistic Focus Arts Equity & Access Arts Services Grant Discipline* Dance/Movement Folk Arts Literature Media Arts Multi-Discipline Music Social Practice Theatre Visual Arts Other Grant Discipline if Other*Contact InfoName of Organization/Artist*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Office/Home Phone*If you have only one phone number enter it both here and in mobile.Mobile Phone*Email* Responsible Party(if different from above)NameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Office/Home PhoneIf you have only one phone number enter it both here and in mobile.Mobile PhoneEmail Social MediaEnter complete URL. Example: https://www.facebook.com/theACPC/Facebook Instagram Twitter YouTube Other Project Details1. Working Title of your Project*2. Project Summary:*Please describe what the project is, who/what is being featured, numbers of community members or students participating (if applicable), when and where it will take place, and any other information including scope or details that you feel is appropriate. (1000 character limit)3. What is your proposed public presentation?*(200 character limit)4. What is the proposed venue location for your public presentation?*(200 character limit)4.a. Is the venue projected or confirmed?*YesNo4.b. Is this venue(s) ADA accessible?*YesNo5. Who are the key artists, collaborators, and/or community partners?*(400 character limit.)5.a. Is the participation of these key artists, collaborators, and/or community partners confirmed?*YesNo6. What is the Start Date of your Project?*When did or does planning begin for creation and execution of the proposed work? 7. What is the End Date of your Project?*When will your public presentation and all related work be complete?8. Timeline*Please describe the overall proposed timeline for your project between these two dates, including the expected timeline for development, execution, and final presentations. (400 character limit)9. What is your estimated total audience?*10. What is the total budget for this project?*11. What amount of funding would you like to request from ACPC?*12. What is the intended impact of this project?*This could be impact on the applicant, the audience, and/or the community. (1,000 character limit)13. How do you plan to ensure the quality of your project?*This could be a plan for feedback, process for critique, or other measures of evaluation. (850 character limit)14. Audience*Who is the audience for the public presentation and what is your promotion/marketing plan? (1,000 character limit)15. Additional Information*What additional information would you like to provide to make the case for your Project Grant proposal? (1,500 character limit) 16. Please describe any other goods, services, or time that will be donated to support the project.*For example: donated space or supplies, volunteer time, discounts or other in-kind donations (600 character limit) 17. Additional Budget Info*Please use this space to provide any additional budget information, if necessary. This could include details about proposed vendors, break out of fee calculations, history of proposed funding support, fundraiser plan details, or fuller descriptions of line items above. (600 character limit.) 18. If awarded, what difference would the ACPC grant funds make in your project?*(600 character limit)19. Project Grant – Budget Form*Accepted file types: pdf, xlsx, xls.Upload the Project Grant Budget Form (PDF, XLS, XLSX). It can be downloaded at the top of this page under Before You Begin.Supplementary MaterialsA detailed description of supplementary materials you should submit & requirements for their preparation can be found at the top of this page under Before You Begin. Name all files so it is clear what they are.A. Artistic Resume Drop files here or Accepted file types: pdf, docx, doc. Individual applicants should upload their artistic resume. (PDF or MS Word) Resumes or bios for main collaborating artist(s) and/or project lead staff, if applicable. (pdf, docx, doc)B.1. Work Samples Drop files here or Accepted file types: pdf, docx, doc, jpg, tif, mp3, mp4, mov. Work samples that showcase previous work/programming for the applicant and other key artists involved and support the proposed project. (.pdf, .docx, .doc, .jpg, .tif, .mp3, .mp4, .mov) Where possible, provide links to video rather than uploading. Some video files may not upload due to size. B.2. Work Sample (links)C. Publicity & Reviews Drop files here or Accepted file types: (doc, docx, pdf, jpg, tif, pdf). Up to 3 samples of recent publicity materials and/or reviews, if available. (.pdf, .docx, .doc, .jpg, .tif) 50MB Maximum.D. Summary BudgetAccepted file types: pdf, xls, xlsx, docx, doc, .Organization applicants should upload their summary budget for the current fiscal year. (.pdf, .docx, .doc, .xls, .xlsx)E. Mission, History, & ProgramsAccepted file types: pdf, docx, doc.Organization applicants should upload a one-page summary of their organization’s mission, history, and programs. (.pdf, .docx, .doc)
