Art Series Grant

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Art Series Grant

Library Name*

Submitter's Name*

Email*

Art Series Title:*

Program Description*

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #1:*

Presenter #1 Address:

Address Line 1

City

State

ZIP Code

Presenter #1 Email

Presenter #1 Phone

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #1 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #2:

Presenter #2 Address:

Address Line 1

City

State

ZIP Code

Presenter #2 Email:

Presenter #2 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #2 Description

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #3:

Presenter #3 Address:

Address Line 1

City

State

ZIP Code

Presenter #3 Email:

Presenter #3 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #3 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #4:

Presenter #4 Address:

Address Line 1

City

State

ZIP Code

Presenter #4 Email:

Presenter #4 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #4 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter' #5:

Presenter' #5 Address:

Address Line 1

City

State

ZIP Code

Presenter' #5 Email:

Presenter' #5 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #5 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #6:

Presenter #6 Address:

Address Line 1

City

State

ZIP Code

Presenter #6 Email:

Presenter #6 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #6 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #7:

Presenter #7 Address:

Address Line 1

City

State

ZIP Code

Presenter #7 Email:

Presenter #7 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #7 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Presenter #8:

Presenter #8 Address:

Address Line 1

City

State

ZIP Code

Presenter #8 Email:

Presenter #8 Phone:

Program Date/Time

Location of Program/Address

Address Line 1

City

State

ZIP Code

Program #8 Description *

In the description of your program, please explain how this program falls into one or more of the ACHF categories

Checkbox*

Arts Arts Education Arts Access Preservation of Minnesota's Arts and Cultural Heritage

Arts

The site of the program is accessible for people with disabilities*

Yes No

The facility is accessible with regard to age, race, color, national origin, gender, sexual orientation or disability*

Yes No

Partners/Contributions/In-Kind Donations

Who is giving time, money or support for the program? List program partners including libraries associated with a program contract.

Example:

Community center
Library X
Friends of the Library
Radio station

Partners/Contributions/In-Kind Donations AND the value(s)*

List partners, their contribution and the value of the contribution

Expected Outcomes

As a result of the program:

1. What knowledge or skills will be gained?
2. How will individual or community attitudes, feelings, or beliefs change?
3. What new interests or activities will develop?
4. What historical or cultural benefit will the program provide?

Expected Outcomes*

Evaluations*

Written evaluations Anecdotal responses

Art Series Grant

Partners/Contributions/In-Kind Donations

Expected Outcomes

Program Costs