Program Partner Application

DEADLINE: April 1

Step 1 of 3

Signature

Application Form for Program Funding

Name of Program Partner(Required)

Contact Name(Required)

Title

Email(Required)

Phone(Required)

Title of Program(Required)

Requested Amount for Funding(Required)

Program Overview

Please provide a brief description of program and include how and where the program will be delivered.(Required)

(i.e. in-class, school assembly, field trip, after school, artist in residence, professional development, supplies etc.)

Program Cost & Disbursement of Funds

Please provide a line item budget. (Scan and upload here)(Required)

Max. file size: 32 MB.

Funding will be disbursed once Program Partner has confirmed a date with school and communicated that information to both the President (pres@kiawahartsetc.org) and Treasurer (treas@kiawahartsetc.org) of Arts, etc. Once confirmation has been received, funding will be disbursed by check. Please complete payment information below:

Make check payable to:(Required)

Mailing address for check:(Required)

Street Address Address Line 2 City State ZIP Code

Amount of Requested Funding:(Required)

Program Partner Acceptance Conditions

Your Name(Required)

Date(Required)

Signature(Required)

Phone

This field is for validation purposes and should be left unchanged.

Program Partner Application

Application Form for Program Funding

Program Overview

School Information

Program Cost & Disbursement of Funds

Program Partner Acceptance Conditions