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Program Partner Application
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Program Partners
Program Partner Application
DEADLINE: April 1
Step
1
of
3
33%
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.)
School Information
Which school (s) will be receiving program? Please include grade level teacher and, to the best of your ability, the anticipated number of students impacted OR in cases of professional development, number of teachers who will receive instruction.
Angel Oak Elementary School
Frierson Elementary School
Mt. Zion Elementary School
Haut Gap Middle School
St. Johns Middle School
Name and contact information at school.
When will this program be delivered?
Note: if exact dates are not available at this time, please give approximate time as indicated by school contact
Please submit any applicable state academic standards that will be addressed by this program and be sure to note any that are cross curricular.
Program Cost & Disbursement of Funds
Please provide a line item budget. (Scan and upload here)
(Required)
Max. file size: 32 MB.
Program Partner Acceptance Conditions
Please read the following statement and sign to acknowledge your agreement before submitting the application:
I understand that funding will be released once I have completed the Program Confirmation Form and that as part of my agreement in accepting funding from Arts, etc., I will: 1) Complete the Arts, etc. Program Completion Form once the program has been delivered. 2)Tag kiawah_arts_etc on all Instagram posts and credit Arts, etc. on any other media communications related to this funding. 3) Provide photos and videos for our organization and include signed media release forms from all students and adults in the footage agreeing that we may use them for promotional purposes.
Your Name
(Required)
Date
(Required)
MM slash DD slash YYYY
Signature
(Required)
Phone
This field is for validation purposes and should be left unchanged.
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