Professional Development Scholarships Application

Applicant Information

Name*

First Last

Applicant Title:*

Applicant Email:*

Applicant Phone Number:*

I am submitting this application as:*

If you are applying as an individual artist, please provide the following:

Street Address City State ZIP Code

How long have you been a practicing artist or in your current position?*

(if applicable)

Organization Name:*

Organization Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organization Website:*

What is your organization’s current annual operating budget?*

Professional development opportunity title:*

Date(s) of professional development opportunity:*

Where will the professional development opportunity take place?*

What organization is sponsoring the professional development opportunity:*

Website for the professional development opportunity:*

Please describe the professional development opportunity and its main focus.*

How will this professional development opportunity benefit your personal and professional growth?*

How will this professional development opportunity build the capacity of your organization and the arts sector?*

Scholarship amount requested:*

Will the requested scholarship amount cover the total cost of the professional development opportunity?*

If not, have you secured other sources of funding to cover the remaining costs associated with the professional development opportunity?*

If you are a volunteer or Board member of an arts organization, has the organization’s Executive Director reviewed and approved this application?*

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