LARAC Artist Relief Fund Application *Due 4/30*
The Lower Adirondack Regional Arts Council (LARAC) created an Artist Relief Fund with generous donations from community members to provide some financial support to artists located in Warren or Washington County who have experienced lost income from the postponement and/or cancellation of specific, scheduled opportunities or programs due to the outbreak of COVID-19. *10% of funds raised will be used for LARAC administrative purposes. *
Email address *
Applicant Name *
Street Address *
Phone Number
Artist Website (if applicable)
Social Media Accounts (if applicable)
Artist Bio: (briefly describe yourself and your artistic practice) *
Name of Lost Opportunity/ Opportunities *
Briefly detail the postponed and/or cancelled opportunity or program. Include the original date, the location, and the total amount of anticipated lost income. Limit: 200 words *
Briefly Describe the Impact of This Lost Income Limit: 200 words. *
Percentage of Your Annual Income: What percentage of your annual income usually comes from Workshops, Commissions, Readings, Performances, Concerts, Exhibitions, and/ or Sale of Art? Please write one number, i.e. 20%, or 50%, etc. *
Funding Request ($100 to $1000) *
Giving Back to Community: Although not required, LARAC encourages all Artist Relief Fund recipients to give back to their community in the form of public art, free life performances, social media/socially distanced activity, or any other example of giving back to your community through your art. If applicable, please describe how you will ‘give back’.
Send Proof of Postponement or Cancellation AND Proof of Residency to director@larac.org *
Proof of postponement and/or cancellation can be in the form of an official letter, email, or other correspondence that clearly demonstrates the postponement and/or cancellation. Proof of residency may be in the form of NYS drivers license or ID, tax bill, or utility bill. After filling out the google form, e-mail proof. Acceptable file types: pdf, doc, docx, jpg, jpeg, png.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Lower Adirondack Regional Arts Council.