ACMNE Community Media Fund Application
Thank you for your interest in applying for funds through the ACM-NE Community Media Fund. Eligible applicants are anyone within the PEG media network in our Northeast Region: Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut and New York.

Nonprofit media centers, government organizations educational institutions as well as individuals or artists working with the PEG media center as their fiscal sponsor, are eligible to apply if they support activities benefiting residents living in their neighborhood. Note: This is a mini-grant fund, meant to supplement funding you already have for a one-day event or project. There must be an educational and community engagement component to this application.

All applications will be reviewed on a rolling basis. Your funded project will be cross-promoted on the ACMNE's e-newsletter, website and social media. Your membership number may need to be verified.

Date of Application
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Organization's Name
Your answer
What is your organizational budget? *
What is the size of your staff? *
Organizational Member Number *
This is your Alliance for Community Media member number. If you don't know this, you can contact the National Alliance for Community Media office.
Your answer
Contact Person
Your answer
Position Title
(e.g.) Executive Director, Outreach, Member, Intern
Your answer
Contact Phone Number
Cell phone or work phone
Your answer
Email Address
Your answer
Mailing Address
Your answer
City
Your answer
Is your organization an IRS 501(c)(3) not-for-profit?
Name of Project or Event Planned
Your answer
Please give a 2-3 sentence summary of your grant request
Include the specific purpose for which this grant is requested and what grant funds will be used for.
Your answer
Plesae give a rationale for the project, including why this grant would be important to the organization, its constituencies, community and expected benefits and outcomes
Your answer
A requirement for this application is to cross-promote the Alliance for Community Media Northeast. Do you agree to include our logo on promotions?
This will help to increase visibility of the ACMNE.
Is this a new project?
Total Budget Request
Your answer
Provide a Project Budget Narrative:
Please provide a further description of your project itemized expenses and income outlined on this application.
Your answer
Date of Project
This can be approximate but this information will be needed in order to secure the funding.
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Time
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Please list any additional funding support for this project:
Your answer
Please submit an itemized budget breakdown of your grant proposal request
Your answer
Marketing for your event is important, how will you promote this event to the public?
Will you use social media, flyers, newspaper ads, promotional videos, other creative ways?
Your answer
Print your Authorized Signature
Your answer
Submit
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This form was created inside of Somerville Media Center.