Applicant (Organizer or Individual)
*
Individual Teacher
Local Affiliate
State Affiliate
Other
Name of State/Local Affiliate
Is the applicant an MTNA Member?
*
Yes
No
Grant contact person (the person writing the application and primary contact person for follow-up questions)
*
First Name
Last Name
Address of Contact (Organization or Individual)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number of Contact
*
-
Area Code
Phone Number
Email of Contact
*
example@example.com
If awarded a grant, make check payable and mail to:
*
Person listed above
Person listed below
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Grant Requested
*
Program Development Grant
Community Engagement Grant
Affiliate Enrichment Grant
Teacher Enrichment Grant
Amount Requested
*
Is your project related to vocal studies?
Yes
No
Does your project pertain to the traditional music and/or dance of North American subcultures or the expansion of knowledge of the traditional music and/or dance of other cultures worldwide?
Yes
No
Brief description of project
*
Maximum 250 words
0/250
Describe how the funds will be used
*
Maximum 100 words
0/100
Title of Project (if applicable)
Project date(s)
Description of Project Impact (250 words max)
*
Description of how project will "Engage the Public" (250 words max)
*
0/250
Anticipated audience reached, including participant numbers, members vs. nonmembers, demographics and so on. (50 words maximum)
0/50
Brief description of organization, including mission statement, organizational impact. (250 words maximum)
0/250
Description of how funds will be used including exactly how this project will enable the organization to approach larger funding entities. (250 words maximum)
Anticipated sources of larger funding. (Provide name of source and amount that will be requested.)
Anticipated sources
*
Anticipated income from source
*
Additional anticipated sources
To add more sources click here
Anticipated sources
Anticipated income from source
Anticipated sources
Anticipated income from source
Anticipated sources
Anticipated income from source
Anticipated sources
Anticipated income from source
Organization Website
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