Artist Grant Application - Eastside Arts Initiative

ELIGIBILITY

Select One*

First Time Applicant

Prior Applicant – did not receive grant

Prior EAI Grant Recipient – grant completed and closing report submitted

Prior EAI Grant Recipient – grant has been completed, but closing report has not been submitted and not eligible to apply for an EAI grant

1. Artist serves in the EAI service area and is prepared to manage EAI grant, sustain proposed program and provide the required documents:

List the specific geographic community/communities within the EAI service area, along with the specific locations*

Upload Resume that clearly describes experience and minimum two year history of artistic work and accomplishments*

Max. file size: 32 MB.

Upload W2 or 1099 for most recent tax filing*

Max. file size: 32 MB.

DOWNLOAD REQUIRED TEMPLATE: PROPOSAL BUDGET

Upload Proposal Budget using required template*

Max. file size: 32 MB.

[Must use required template. Title, date and number all pages. Budget must accurately total all expected expenses and revenue for proposed program, such as Fiscal Agent fee and EAI grant request. Incomplete budgets will not be accepted.]

2. Artist’s Fiscal Agent is a 501C3 non-profit arts organization and can provide the following documents:

Upload Fiscal Agent’s Letter accepting and confirming the specific responsibilities of the Fiscal Agent as listed in the guidelines*

Max. file size: 32 MB.

Upload Fiscal Agent’s IRS Determination Letter*

Max. file size: 32 MB.

Upload Fiscal Agent’s IRS 990*

Max. file size: 32 MB.

DOWNLOAD REQUIRED TEMPLATE: FISCAL AGENT ANNUAL BUDGET

Upload Fiscal Agent’s Current Annual Budget using required template*

Max. file size: 32 MB.

[Use required template and title, date, and number page/pages. Budgets using a different format will not be accepted]

GENERAL INFORMATION

Artist Legal Name*

First Last

Artist Title*

Age*

Select Artistic Discipline*

List specific craft (i.e, ceramics, woodwork, mosaic art, etc.)

List one specific trade:

Describe Artistic Work*

Street Address*

Address City State ZIP Code

Phone*

Mobile Phone*

Email Address*

Web Site Address*

Instagram Address

Facebook Address

Twitter Address

PROPOSAL INFORMATION

Program Title*

Program Description (clear summary)*

Program Purpose (significance, goals and expected outcomes)*

Program Location/s with Address*

If Public Art Project, upload:

Approval Letter from property owner

Approval Letter from municipality (if applicable)

Upload approval letter from property owner

Accepted file types: pdf, doc, docx, Max. file size: 32 MB.

Upload approval letter from municipality

Accepted file types: pdf, doc, docx, Max. file size: 32 MB.

Program Benefit and Importance to Community (avoid using stats or data unless absolutely relevant)*

Number of Participants to be Enrolled in Program:*

Participant Age Group/s*

4-8

9-12

13-18

19-29

30-45

46-55

56-65

66 plus

All ages

Program Benefit to Participants / How Participants will Engage in Program*

Total Number of Audience Participants*

Audience Age/s

Program Benefit to Audience*

Community Engagement*

Program Partners and Roles (i.e., community-based organizations, community volunteers)*

Program Implementation Plan (planning, launch, sustainability)*

Program Outreach and Marketing Plan [75 Words Max]*

Program Start Date*

Program End Date*

Program Schedule of Activities & Event Dates*

Program Evaluation and Next Steps with Program*

FINANCIAL INFORMATION

Grant Amount Request: $*

Proposed Program Total Cost: $*

Remaining Funds to be Raised: $*

Other Funders (received, commitments, pending funds)*

Applicant Annual Income: $*

Fiscal Agent’s Annual Budget Total: $*

SAMPLE OF WORK REQUIRED – “Show Your Creativity”

Upload Video [OR] Image of Work Related to Proposal [NOT BOTH]* (Sample work must be current and not older than one year)

1. Video URL – YouTube, Vimeo platforms, etc.

[Maximum 3 mins - more than 3 minutes will be disqualified]

2. Upload Image

Max. file size: 32 MB.

[Accepted file types: pdf, jpg, word doc, docx]

FISCAL AGENT

Fiscal Agent Organization Name*

Fiscal Agent Tax ID Number*

Fiscal Agent Mission*

Fiscal Agent Board of Directors and Affiliations*

Fiscal Agent Person in Charge Name*

First Last

Fiscal Agent Person in Charge Title*

Fiscal Agent Office*

Street Address City State ZIP Code

Fiscal Agent Office Land Line Phone Number*

Fiscal Agent Person in Charge Mobile Phone Number*

Fiscal Agent Person in Charge Email Address*

Fiscal Agent Web Site Address*

Fiscal Agent Instagram Address

Fiscal Agent Facebook Address

Fiscal Agent Twitter Address