Artists In Schools & Communities Sponsor Application
Sponsoring School or Organization:
DUNS Number:
Address (Street, Rural Route, or P.O.Box):
City / Town:  State:    
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:    
2.  Residency Length:   
Other residency:    
3.  Residency Length:   
Other residency:    
Indicate grade or age levels and numbers of students / participants in each Core Group working with the artist.
Grade or Age Level(s):
Number of Students / Participants:
If this is a school residency, describe how it will contribute to arts education in your school and with what core subjects the residency will be integrated.
If this is a community residency, describe the types of activities anticipated and suggested groups with which the artist will work.
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: