EmailMe Form - Special Project Grant -Deadline November 30, 2024

Project Title: *

Amount Requested
Max $2,000. *

This is our first application to FKCA: *

Yes

No

If no, the previous application:

Was Funded

Was Not Funded

Continued: previous application was submitted:

as an individual

as part of a group

Continued: previous application submitted by whom: *

We have received Special Project funding (quantity) times.

If none insert 0

Applicant is: *

Individual artist (resume & proof of residency required)

Non-profit arts orgainization (IRS 501c3 required)

Ad hoc/unincorporated arts organization (mission statement required)

Attach resume, proof of residency, 501c3, mission statement here *

Acceptable formats: pdf, doc, docx or txt

File Upload

CONTACT INFORMATION

Name of artist/organization *

Contact person *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone *

### - ### - ####

email *

Web Site

DESCRIPTION OF PROJECT: Please answer the questions below in a clear and concise narrative in each text box

A. Need (Why are you seeking funding?) *

B. Goal (What will you do?) *

C. Methods (How will you do it?) *

D. Use of funds (How will you spend the requested grant funds?) *

E. Future support anticipated from other sources *

F. Evaluation (How will you measure the success of the project? What evaluation tools will you use?) *

BUDGET

A. Anticipated Project Expenses

Artistic Fees:
How much per hour ($50/hour recommended)

$ Dollars

Supplies & materials

$ Dollars

Other

$ Dollars

Expenses: Project Totals *

$ Dollars

B. Income Breakdown for this request

Artistic fees

$ Dollars

Supplies & materials

$ Dollars

Other

$ Dollars

Grant Project Total Ask *

$ Dollars

C. Project Income from other funds.
List income from anticipated other funds (for example: Box Office, Admission Fees, Other Grants)

*

Other Income Total *

$ Dollars

Please describe other funding sources, including any in-kind contributions. You may add more detail as appropriate. *

If awarded a lesser amount than requested, can you still complete the project? *

Yes

No

If yes, how will that alter the project? If no, please insert N/A *

Are you currently a member of the Florida Keys Council of the Arts? *

Yes

No

Checking this box acts as my electronic signature *

I verify all information in this application is correct

Email

CONTACT INFORMATION

DESCRIPTION OF PROJECT: Please answer the questions below in a clear and concise narrative in each text box

BUDGET

A. Anticipated Project Expenses

B. Income Breakdown for this request

C. Project Income from other funds. List income from anticipated other funds (for example: Box Office, Admission Fees, Other Grants)

C. Project Income from other funds.
List income from anticipated other funds (for example: Box Office, Admission Fees, Other Grants)