Arts Link Grant Program
2016 Arts Link Re-Grant Program
COMMUNITY ARTS PROGRAM APPLICATION
FOR DECEMTRALIZATION & PUTNAM ARTS FUND PROGRAMS
APPLICANT ORGANIZATION INFORMATION:
1. Applicant Organization Name:
2. Applicant Organization Mailing Address (city, zip):
3. Applicant Organizational Focus
4. Applicant Organization year incorporated:
5. Has Applicant Organization provided active services to Putnam County since 2008? _____
(If not, explain)
6. Applicant Organization not-for-profit Status: i.e., NY Dept. of Education, NY Dept. of State,
Unit of Government/Indian Tribe, Other.
7. Organization FEIN # (Federal Emlployer Identification Number):
8. Name of Exec. Director or President of Applicant Org:
9. Applicant Organization Website
10. Exec. Dir. or President daytime phone:
11. Exec. Dir. or President E-mail:
12. Contact Person Name AND Title:
(Ideally, the person who wrote this application)
13. Contact Person Address:
14. Contact Phone:
15. Contact E-mail:
16. If the Applicant Organization is acting as a sponsor for another local arts organization, what
is the name of the sponsored group and what is your connection to the project.
17. Sponsored Group’s web address:
REQUEST:
1. Name of Project
2. Artistic Discipline of Project
3. Type of Project
4. Composition of Audience
5. NYS Senate Assembly District
6. Project start and end dates
7. Grants Request $_______________
1. APPLICANT ORGANIZATION
Very briefly (no more than 2 sentences) describe the purposes & activities of the Applicant
Organization.
2. SPONSORED ORGANIZATIONS
If an organization is being sponsored by the Applicant Organization, briefly describe the
purposes & activities of the Sponsored Organization.
3. CERTIFICATION AND RELEASE - To Be Signed by the President or Executive Director of the
Applicant Organization AND the individual filling out the application.
The undersigned certifies that she or he:
1) has read and understands the 2016 PAC guidelines and agrees that this request
complies with and is made subject to said guidelines,
2) understands that any award checks are made out to the applicant organization,
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3) agrees that the applicant organization is responsible for the occurrence of funded
project,
4) understands that the applicant organization will hold responsibility for ensuring that a
final report is submitted even if that report is written by another,
5) understands that support in past years in no way guarantees continued support.
President or Executive Director of Applicant Organization:
________________________________________
Date: ___________________
Print name: ______________________________ Title: ___________________
Individual filling out Application:
_______________________________________
Date: _____________________
Print name: ______________________________
1. EVENT INFO:
Use the following format to list dates, times and locations of your requested event(s). If
information is not confirmed, write what you can, i.e. “mid-June”. Estimate audience
size.
List Activity
Date
Time
Location
Ticket Fee
Audience Size
2. SUMMARY STATEMENT AND PRIMARY GOALS AND OBJECTIVES:
Summarize your project in a few sentences. Example: “The Performing Arts Center will
sponsor a performance by the Cayuga Multicultural Chorus at 6pm on Sunday, October
5 at the Center.
3. DETAIL STATEMENT:
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Describe your project on this page and one additional page, if needed. Address all
points listed below. You do not need to write a separate paragraph for each bullet. Just
make sure that every point below is covered somewhere in your narrative.
 Please write a clear, concise, detailed description of the project.
 Describe the art, i.e. the performance, exhibit or activity.
 Name artistic personnel. Speak about the qualifications or experience of your
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proposed artistic personnel. Note if you will also be attaching a resume. The caliber
of the artistic personnel is a major consideration for the panel.
Describe or name the administrators of the project and their qualification to
administer.
Describe the size & type of audience that will be served by project. Comment on
community interest in your proposed project and community benefit.
. Number of artists participating
. Number of youths benefiting
. Number of individuals benefiting
Speak about the need for these funds.
Note: Any expenses described in the narrative should be found on the budget page
of this application. Any costs listed in the budget should be described in the
narrative.
You may use an extra page to answer these questions
1. IN-KIND CONTRIBUTIONS:
Tell us about services that are being donated to your project such as reduced artist fees, space rental,
printing, utilities, volunteers, food, etc.:
2. REDUCED FUNDING:
A) List the expenses most crucial for the success of your project:
B) If your project receives funding at a reduced level, describe how your project could
be adjusted:
3. PROMOTIONAL EFFORTS:
Describe your planned publicity/promotional efforts for your project. If applicable,
describe your efforts to target under-served or under-represented audiences.
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4. What community cultural needs are met by your project
5. How will you measure the success/response to your project
4. PREVIOUS FUNDED PROJECTS:
If your organization received GAP funding in 2014 and/or 2015, please give the
information indicated below and write any comments you might wish to make about
the success of the event. (Your attendance totals will be compared to your audit and
final reports)
2014 Name of Event, Total Attendance.
2015 Name of Event, Total Attendance.
6. 2015 PANEL COMMENTS
If you received specific suggestions and questions in your 2015 PAC award or denial
letter, please comment on those suggestions or questions here and discuss what you did
to respond if any constructive comments were provided to improve the event.
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Arts Link Grant Application – Budget page
PROJECT
INCOME
Provide Breakdown Below
B. TOTAL
INCOME
Admissions
Membership, Dues
Workshops, Sales
Contributions
Individual
Contributions
Corporate
Other Grants (not
GAP)
Other (explain)
TOTAL
PROJECT
EXPENSES
Provide Breakdown Below
A. TOTAL
EXPENSES
C. Grant
Request
Artistic Personnel
Technical Personnel
Space Rental
Equip. Rental,
Supplies
Travel
Advertising
Promotion
Remaining Operating
Expenses
TOTAL
REQUEST:
Total Income from Total Expenses should determine your Arts Link Grant
Request of $_______
Reminder: maximum request cannot exceed $5,000 and
your request cannot exceed 70% of the total project cost.
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