Arts Partners for Learning Initiative Western New York Schools are eligible for Art Partners for Learning creative learning programs For programs occurring between September 2016 and June 2017 SCHOOL PROGRAM APPLICATION Selected Schools will be required to: ● ● ● ● ● Provide a portion of the total program costs for a total not to exceed $1,000 Return signed Memorandum of Understanding within two weeks to secure programming Provide for bussing if program includes a field trip Participate in a short survey upon program completion Find your programs at http://aplwny.org/programs/ If these requirements are not met, your school will not be eligible for future financial assistance. Schools that have not submitted an evaluation form are ineligible for future Arts Partners for Learning Initiatives programming until the completed evaluation form is received. Eligibility: Your school is eligible if you are a Public or Charter School and/or have a student population where at least 30% of students qualify for a free or reduced lunch, or who lack regular visual arts and music instruction or arts enrichment opportunities. School day programs are a priority. There must be a dedicated, private workspace available for students. Schools that apply early will be given priority. To Apply: Complete this easy, two-page application form and attach a narrative describing your school’s need for quality arts programming. Return to Young Audiences via fax, email, or mail. All sections must be filled out or your application will not be considered. Call Arts Partners for Learning at 716-881-0917 for any questions or assistance. ROLLING DEADLINES: June 1, 2016 and December 1, 2016. Arts Partners for Learning is a community initiative managed by Young Audiences of Western New York Arts Partners for Learning c/o Young Audiences / 1 Lafayette Square, Buffalo, NY 14203 / 716-881-0917 / info@aplwny.org / www.aplwny.org School Application For programs occurring between September 2016 and June 2017 School Name: __________________________________________________________________ School Address: ________________________________________________________________ County: _______________________________________________________________________ Grade levels to be served: ____________________ Number of students to be served: _________ Main School Contact: _______________________________ Title: ______________________ Main School Contact Phone: ________________________________________________ Main School Contact Email: _______________________________________________________ Secondary Contact Name: ____________________________ Title: ______________________ Secondary Contact Phone : _________________________________________________ Secondary Contact Email: ________________________________________________________ Name of person responsible for accounts payable: _____________________________________ Accounts Payable Phone: _______________________________________________________ Accounts Payable Email: ______________________________________________________ By signing, the Principal supports this programming in our school and commits to paying a Portion of the program’s value, not to exceed $1,000. Principal’s Name (Printed): _______________________________________________________ Principal’s Phone: ________________________________________________________ Principal Email: ________________________________________________________________ Principal Signature: _____________________________________ Date: __________________ Please answer the following questions. This information will be used as criteria to select participating schools. ______ The percentage of students receiving Free and Reduced Lunch at your school ______ The number of times per week every student receives visual arts instruction ______ The number of times per week every student receives music instruction ______ The number of times per month every student receives theatre or dance instruction ______ The number of students at your school ______ The number of cultural enrichment opportunities planned this year by your school (i.e. field trips to museums or artist visits) Arts Partners for Learning is a community initiative managed by Young Audiences of Western New York Arts Partners for Learning c/o Young Audiences / 1 Lafayette Square, Buffalo, NY 14203 / 716-881-0917 / info@aplwny.org / www.aplwny.org Visit our website at aplwny.org/programs/ for details on programs offered by our partners Use the chart below for your program choices. Please select three potential cultural partners. List your top choice in section A. Buffalo Zoo Darwin Martin House Buffalo Architecture Foundation Hull Family Home and Homestead Explore & More Children’s Museum Shakespeare in Delaware Park Buffalo Niagara Heritage Village Shea’s Performing Arts Center Buffalo Philharmonic Orchestra Herschell Carousel Museum Buffalo Science Museum Squeaky Wheel Ujima Theater Theodore Roosevelt Inaugural National Historic Site Western New York Book Arts Center Latin American Cultural Society Albright Knox Art Gallery Roycroft Campus Starlight Studio and Art Gallery Neglia Ballet Artists UB Anderson Gallery Infinity Visual & Performing Arts, Inc. Explore Buffalo (Must be paired with another program) ORGANIZATION PROGRAM A. B. C. Please note that a significant portion of program costs will be covered, thanks to support from the Fund for the Arts. . Schools will be responsible for covering cost of bussing. Please indicate the amount of your school match. Below are indications of typical school match amounts. The larger the school match, the bigger the programming budget to work with the cultural partner. $200-$500 $500 - $800 $800-$1000 School Match Amount: _______________________________________________________________ Arts Partners for Learning is a community initiative managed by Young Audiences of Western New York Arts Partners for Learning c/o Young Audiences / 1 Lafayette Square, Buffalo, NY 14203 / 716-881-0917 / info@aplwny.org / www.aplwny.org See next page for narrative details. YOUR APPLICATION WILL NOT BE COMPLETE WITHOUT A NARRATIVE. Please attach no more than a one-page narrative that describes your school’s need for quality arts programming and why having this programming is important to your school. The narrative should also address your need for financial assistance. Describe your goals for this program (please note that if this program is for a residency, a maximum of 4 classrooms or 120 children and a minimum of 2 classrooms and 60 children may be served). Explain how this program will help to achieve school curricular goals, and what you hope to accomplish. Please include: details from your school plan and opportunities to align with specific curricular elements. Note in your narrative if you would like to combine more then one cultural group. Arts Partners for Learning To submit, return this form and narrative to: Email: artsed@aplwny.org Fax: 716-408-3279 Subject: APL Program Application or APL Program Application c/o Young Audiences 1 Lafayette Square Buffalo, NY 14203 ROLLING DEADLINES: June 1, 2016 and December 1, 2016. Arts Partners for Learning is a community initiative managed by Young Audiences of Western New York Arts Partners for Learning c/o Young Audiences / 1 Lafayette Square, Buffalo, NY 14203 / 716-881-0917 / info@aplwny.org / www.aplwny.org