Santa Maria Arts Council Individual Grants in the Arts
Email address *
Name
Your answer
Category (Dance, Drama, Music, Visual Arts)
Medium (ballet, musical theatre, violin, drawing)
Your answer
date of birth / age
Your answer
Last 4 digits of your Social Secuirty #
Your answer
Mailing Address
Your answer
City
Your answer
Zip Code
Your answer
Residence Address if different
Your answer
City
Your answer
Zip Code
Your answer
Cell phone
Your answer
Landline
Your answer
Social media where we can reach you
Your answer
Residency - Date from...
MM
/
DD
/
YYYY
Residency - Date to...
MM
/
DD
/
YYYY
List recent art classes
Art Course 1
Your answer
Art Course 1 School/Instructor
Your answer
Art Course 1 Semester/Year
Your answer
Art Course 2
Your answer
Art Course 2 School/Instructor
Your answer
Art Course 2 Semester/Year
Your answer
Art Course 3
Your answer
Art Course 3 School/Instructor
Your answer
Art Course 3 Semester/Year
Your answer
Have recommenders fill out the rec form at www.smartscouncil.org/recform.html
Recommender 1
Your answer
Recommender 1 Position/Title
Your answer
Recommender 1 Email
Your answer
Recommender 2
Your answer
Recommender 2 Position/Title
Your answer
Recommender 2 Email
Your answer
Recommender 3
Your answer
Recommender 3 Position/Title
Your answer
Recommender 3 Email
Your answer
What is your artistic training and experience?
Your answer
Where do you see yourself in 5 years and how do you plan to get there?
Your answer
How would you spend this grant
Your answer
What is the higest level of education you have received?
Your answer
How much average annual income have you generated from your artistic work in the last 2 years?
Your answer
Have you ever been accepted into a national society or professional show related to your art?
If yes please list. Visual artists, also list any galleries or shows where you have shown your work in the last 2 years
Your answer
If your are a filmmaker or animator list YouTube links where your submissions can be viewed.
Your answer
Note any unavoidable morning/early afternoon audition time constraints for Saturday April 6.
Your answer
Submit art work to publicity@pcpa.org. There is a 5mb limit per email submission.
Agreement and Signature
By submitting this form, you agree:

To hold the Santa Maria Arts Council, its officers, members, and all others involved in the program harmless from any liability that may result from your participation in this competition.

You understand that this grant may only be used for the purposes stated, and that you will be required to participate in the Grants Showcase and awards presentation on Monday, May 6, 2019, and to perform at an Arts Council event such as the Grants Showcase or other event within the next five years.

You certify that you hold a valid SS#, work permit, Green Card, or other proof of legal residency.

A copy of your responses will be emailed to the address you provided.
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