applicant organization - Connecticut Humanities

QUICK GRANTS
PART 2: APPLICATION MATERIALS
2.1
APPLICATION COVER AND CERTIFICATION
2.2
PROJECT NARRATIVE
2.3
PRESENTER AND CONSULTANT QUALIFICATIONS
REVISED JULY 2014
Connecticut Humanities Fund | Quick Grants | Part 2 | Page 1
2.1
APPLICATION COVER AND CERTIFICATION
CTH Project #
PROJECT TITLE
APPLICANT ORGANIZATION
GRANT PERIOD
TO
CTH FUNDS REQUESTED
AUTHORIZING SIGNATORY
NAME
TITLE
ORGANIZATION NAME
MAILING ADDRESS
CITY
PHONE
STATE
ZIP +4
E - MAIL
IMPORTANT! THE AUTHORIZING SIGNATORY MUST CERTIFY THE STATEMENT BELOW BY CHECKING THE BOX.
I CERTIFY THAT THE INFORMATION PRESENTED HERE IS TRUE AND ACCURATE; THAT I HAVE READ AND UNDERSTAND THE
GUIDELINES RELATING TO THIS APPLICATION; AND THAT THE APPLICANT ORGANIZATION IS IN COMPLIANCE WITH ANY GRANTS
PREVIOUSLY AWARDED BY
CONNECTICUT HUMANITIES.
PROJECT DIRECTOR (PROJECT DIRECTOR CANNOT BE FISCAL AGENT)
NAME
TITLE
ORGANIZATION NAME
MAILING ADDRESS
CITY
PHONE
STATE
ZIP +4
E - MAIL
FISCAL AGENT (FISCAL AGENT CANNOT BE PROJECT DIRECTOR AND MUST BE AN EMPLOYEE OR BOARD MEMBER OF
APPLICANT ORGANIZATION.)
NAME
TITLE
ORGANIZATION NAME
MAILING ADDRESS
CITY
PHONE
Revised July 2014
STATE
E - MAIL
ZIP +4
Connecticut Humanities Fund | Quick Grants | Part 2 | Page 2
2.2
PROJECT NARRATIVE
PROJECT SUMMARY
Please provide a succinct description of your project. (500 characters maximum, including spaces.)
AUDIENCE AND MARKETING
Who is your target audience for this project? How will you let them know about it? Please identify the methods
you will use to promote your project (e.g., print, broadcast, social media, specific groups). (1,500 characters
maximum, including spaces.)
PROJECT DETAILS
Please include the following information for all projects:
•
Title(s) of exhibition, book or public event
•
Format(s)
•
Humanities theme(s)
•
Relevance to your community
•
2-3 line program description(s) for each program
•
Admission and other fees
•
Date(s) and time(s) of program(s)
•
Anticipated attendance numbers
For Community Events and Community Reads Projects:
•
Location(s) and audience capacity of the venue(s)
•
Name(s) of speaker(s) and presenter(s)
For Exhibits and Tours:
•
Open and close date of exhibition
•
Location of exhibition
•
Description of theme(s) and topic(s)
•
Brief listing of key objects, images, and other media to be included in exhibition
•
Itinerary for tours, including brief statement of significance for each site/stop on tour
Revised July 2014
Connecticut Humanities Fund | Quick Grants | Part 2 | Page 3
PROJECT DETAILS
(5,000 characters maximum, including spaces)
GOALS AND LEARNING OBJECTIVES
What do you expect your audience to learn by participating in this project? (1,000 characters maximum,
including spaces)
Revised July 2014
Connecticut Humanities Fund | Quick Grants | Part 2 | Page 4
2.3
PRESENTER AND CONSULTANT QUALIFICATIONS (1 OF 2)
List the major participants including presenters, consultants, scholars, staff, etc. Make sure you include all
participants for whom you are requesting CTH funding.
TEAM MEMBER #1
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #2
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #3
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #4
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
Revised July 2014
Connecticut Humanities Fund | Quick Grants | Part 2 | Page 5
PROJECT TEAM (2 OF 2)
TEAM MEMBER #5
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #6
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #7
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #8
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
Revised July 2014