Artists In Schools & Communities Sponsor Application
 
Sponsoring School or Organization:
DUNS Number:
Address (Street, Rural Route, or P.O.Box):
City / Town:  State:    
Zip:
   
Project Director (Contact Person):
E-mail Address:  
Facility Telephone: - -  
Daytime Telephone: - -  
Evening or Message Phone: - -  
   
Alternate Contact Person:
Daytime / Cell Phone: - -  
E-mail Address:  
   
Preferred Dates Of Residency: To:    
Alternate Date Preference: To:  
   
   
In order of preference, list the three (3) artists of most interest to you:
1.  Residency Length:   
 
Other residency length (in weeks):    
   
 
   
2.  Residency Length:   
 
Other residency length (in weeks):    
   
3.  Residency Length:   
 
Other residency length (in weeks):    
 
All Artists in Schools & Communities Residencies require a Core Group. A core group consists of a single classroom, grade level, or another group of selected students meeting with the artist on a regular basis during a residency. Please answer the following questions as they pertain to your planned CORE GROUP.
Grade or Age Level of Core Group:
Number of Students/Participants in Core Group:
 
Describe your plan for how your Core Group(s) of students/participants will engage with the artist-in-residence:
 
 
Describe your plan to expand residency activities throughout your school or community beyond the core group of participants:
 
 
Indicate Source of Matching Funds:



   
   
 
AGREEMENT: As the Sponsor's authorized representative, I agree to the following provisions governing the Artists In Schools & Communities Program: