Application for Allied Arts & Humanities Grant – Program Support Please note, you can use “Save and Continue” at the bottom to come back to your application later. However, you will have to reattach any documents. Allied Arts and Humanities Fund Grant Application - Program Support CompanyThis field is for validation purposes and should be left unchanged.These initial 7 questions will help determine whether your organization and proposal are eligible for the Allied Arts and Humanities - Program Support Grant. The application questions will not open if answered incorrectly.1. Are you applying on behalf of a 501(c)(3) nonprofit, a tax-exempt organization, a BCF Affiliate, or a BCF Component Fund?* YES NO 2. Does your project serve Bartlesville?* YES NO 3. Has your project started more than 1 month ago?* YES NO 4. Will your project be complete within 1 year of receiving BCF grant funding? (Fall grant awards are paid in December.)* YES NO 5. Is your organization and/or project related to the arts or humanities?* YES NO 6. Are you requesting more than 50% of the total operational cost of your project?* YES NO 7. Is your project a fundraising event?* YES NO YOUR ORGANIZATIONOrganization Name:*Organization Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Organization Website:Tax ID Number:*Nine-digit number issued by the IRS. If you are applying on behalf of a component fund of the BCF, please type the BCF's tax ID number which is 731575838.Organization Contact (person responsible for grant application):*Contact Phone Number:*Contact Email:* Enter Email Confirm Email W-9:*Accepted file types: pdf, Max. file size: 16 MB. If you are applying on behalf of a component fund of the BCF, please upload a blank file.Solicitor Certificate of Registration from the OK Secretary of State:*Accepted file types: pdf, Max. file size: 16 MB. This should be your most recent filing to show your organization is registered as a solicitor in the state of Oklahoma. If you are applying on behalf of a BCF component fund, or are exempt from this requirement in the state of Oklahoma, please provide your exemption letter or upload a document with "exempt" typed in text.First Page of Most Recent 990:*Accepted file types: pdf, Max. file size: 16 MB. The first page of your 990 includes your organization's name, filing year, tax-exempt status, and Part 1 and 2 (items 1-22). If you are applying on behalf of a component fund of the BCF, or are exempt from this requirement, please upload a blank form.Project Discipline:* Visual Arts Performing Arts Literary Arts Arts Education Humanities Project/Program Name:*Project BudgetItemized Project Expenses:*ItemExpected Cost Be as specific as possible, and use the "+" to add more lines. Your "Expected Costs" should add up to the total cost of your project.Total Project Cost:*This should be the total of the costs listed above.Grant Amount Being Requested:*Please enter a number from 750 to 2000.Minimum request: $750. Maximum request: $2000. Ideally, this should be the cost of one (or more) of the items listed above. Remember, it cannot exceed 50% of the total project cost. This field is hidden when viewing the formDate When Funds will be Needed: Month Day Year Anticipated Project Start Date* Month Day Year Keep in mind that awardees are paid in December.How Will These Grant Dollars Be Used?*Your explanation should include the specific expense item or items for which the grant dollars would be used as listed above.Anticipated Funding from Other Sources:*SourceAmount Be as specific as possible, and use the "+" to add more lines. "Grant Amount Being Requested" + "Anticipated Funding from Other Sources" = "Total Project Cost"Artist-In-Residence Details(if applicable)Artist(s) Name:If you are requesting funds for an artist-in-residence, provide the artist's name here. Artist(s) Bio:If requesting artist-in-residence funds, provide a brief bio here. NARRATIVEPlease tell us about your proposal by answering the following questions.1. Provide a brief description of your organization and its mission.*2. Describe the need for your project, including how the need was determined.*3. Describe the target population of your project and the expected numbers to be served.*4. Describe your project and how it serves Bartlesville.*5. Describe the benefits to your audience and the wider community.*6. Describe your expected outcomes.*7. Describe your project timeline and process for implementation.*8. How will you evaluate and measure the success of your project?*9. How will you sustain this project in the future?*10. Describe how your organization is uniquely qualified to deliver this project and how you are collaborating with other organizations.*Supplemental Attachment: Graphics, such as photos and charts, are e ncouraged to illustrate data and help reviewers visualize your project or product. Upload in pdf format.Accepted file types: pdf, Max. file size: 16 MB. Using no more than two typed pages of Times New Roman 12pt font, answer the following questions, then upload below. Remember to include the questions as section headings. Provide a brief description of your organization. Describe the grant funded project. Describe the intended audience and the expected numbers to be served. Describe the benefits to your audience and the wider community. Describe the desired outcome and your method for evaluating and measuring the desired outcome. Why is your organization uniquely qualified to deliver this project? This field is hidden when viewing the formNarrative Attachment:*Accepted file types: pdf, Max. file size: 16 MB. CAPTCHA(PLEASE NOTE: When you choose "Save and Continue Later", you will be taken to this grant's home page. You will then need to scroll to the bottom and enter your email address.)
