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APPLICATION FOR MINI-GRANT
TALBOT COUNTY ARTS COUNCIL, INC.
P.O. Box 6, Easton, MD 21601-0006
phone 410-245-5195
e-mail
jlevy@talbotarts.org
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Email
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ORGANIZATIONAL IDENTIFICATION
Full name of organization or school:
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Name and title of requesting official:
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Mailing address:
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Phone:
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Fax:
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Email:
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Check how you qualify for a mini-grant
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A new organization that emerges between Arts Council grant cycles
An established organization facing an emergency need or special opportunity
An established organization which did not request Arts Council funds in the last grant regular cycle
A school for certain arts-related programs for which Maryland State Arts Council funds may not be used.
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INFORMATION ON PROGRAM FOR WHICH FUNDING IS REQUESTED
Name of program
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When will the program occur? Dates/times
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Where will it be held?
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Number who will directly benefit from the project
Number of artists
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Number of adults
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Number of children
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Total
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Applicants must comply with the following conditions (expected answers are YES)
The event or program site is accessible to persons with disabilities in accordance with ADA
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Yes
No
Applicant is incorporated in MD and has IRS tax-exempt status (except govt-related applicants).
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Yes
No
A final report will be submitted within 30 days after completion of project.
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Yes
No
Digital signature of requesting official
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Date
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MM
/
DD
/
YYYY
What arts activity(ies) will be supported with this funding? Be detailed. Provide clear, specific and thorough explanation of arts activities.
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BUDGET ESTIMATE
Income
Amount requested of TCAC
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Matching funds from what source(s)? List source(s) & each dollar amount.
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Total income
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Expenditures
Fees for artists or educators
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Rental of space
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Other fees
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Total expenditures
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Your answer
A copy of your responses will be emailed to the address you provided.
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