Artists In Schools & Communities Sponsor Application |
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Sponsoring School or Organization: |
*Required
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UEI Number: |
*Required
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Address (Street, Rural Route, or P.O.Box): |
*Required
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City / Town: |
*Required
State:
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Zip: |
*Required
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Project Director (Contact Person): |
*Required
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E-mail Address: |
*Required
*Invalid Email
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Facility Telephone: |
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*Required
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Daytime Telephone: |
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*Required
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Evening or Message Phone: |
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*Required
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Alternate Contact Person: |
*Required
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Daytime / Cell Phone: |
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*Required
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E-mail Address: |
*Required
*Invalid Email
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Preferred Dates Of Residency: |
To:
*Required
*Invalid Date
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Alternate Date Preference: |
To:
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In order of preference, list the three (3) artists of most interest to you: |
1. |
Residency Length:
*Required
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Other residency length (in weeks):
*Required
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2. |
Residency Length:
*Required
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Other residency length (in weeks):
*Required
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3. |
Residency Length:
*Required
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Other residency length (in weeks):
*Required
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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: |
*Required
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Number of Students/Participants in Core Group: |
*Required
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Describe your plan for how your Core Group(s) of students/participants will engage with the artist-in-residence: |
*Required
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Describe your plan to expand residency activities throughout your school or community beyond the core group of participants: |
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Indicate Source of Matching Funds: |
*Required
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AGREEMENT: As the Sponsor's authorized representative, I agree to the following provisions governing the Artists In Schools & Communities Program:
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*Required
*Required
*Required
*Required
*Required
*Required
*Required
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