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a department of the City of Salina

sah@salina.org

211 W. Iron Ave Salina, KS 67401

785-309-5770

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2021 ORGANIZATIONAL PROJECT GRANTS

APPLICATION FORM

Instructions:

  1. All applicants must schedule an appointment with SAH staff to review the proposed project prior to submitting an application. 
  2. Complete the form by answering all questions.
  3. Submit the application and upload any other grant support materials. 
  4. Incomplete applications cannot be processed.

Application Deadline: 5:00 pm on November 2, 2021

 

I. Organization Seeking Funds

Organization Address

Applicant is:

Contact Person's Name

II. Applicant Organization's Financial Summary

Financial Statement for most recently completed fiscal year ending:

Total budget for current fiscal year ending:

III. Project Summary

IV. Period of Support Requested (project timeline, not grant period)

Project Timeline

V. Fiscal Agent Information

The organization listed below is serving as fiscal agent for the organization seeking funds listed above in Section I, or an individual artist. Please complete all of the information below regarding the fiscal agent organization.

Address of Organization

VI. Accessibility of Project

a. Estimated Number of persons Benefiting from Project

b. Will admission be charged for project activities?

b. Will admission be charged for project activities?

VII. Organizational Mission and History

VIII. New or Existing Program?

Please mark one of the following

IX. Project Description

Answer the following questions as clearly and concisely as possible.  (It will be helpful to review the Grant Review Criteria on pages 3 and 4 of the Guidelines before completing this section of the Application form.)

X. Project Timeline

Upload Project Timeline

XI. Budget Sheet (for this proposal only)

PROJECT EXPENSES:

  1. Contracted Fees and Service:
         Artistic – fees charged by an artist in any discipline for services
         Technical/Production – fees for stage hands, lighting designers, curators, etc.
         Consultants – fees for a professional who will assist with planning or other kinds of organizational technical assistance needs
  2. Traveltravel costs for staff, guest artists and/or consultants.
  3. Hotel – lodging costs for staff, guest artists and/or consultants.
  4. Space Rental – expenditures for theatre, hall, rehearsal, gallery or other space necessary to complete the grant activities.
  5. Production/Exhibition Expenses – materials and service costs associated with preparing for a performance, exhibit opening or other public presentation of artistic work.
  6. Promotion/Advertising – costs of services and products that are purchased to raise the public’s awareness of the activity described in the grant application.
  7. Printing and Mailing – costs associated with designing, printing and mailing brochures, exhibition catalogs, study guides, directories, etc.
  8. Administration Expenses – costs associated with personnel, telephone, and office supplies (not to exceed 20% of request).
  9. Tuition or Registration Fees – costs associated with attending a professional development workshop or conference.
  10. Other – supplies, resource materials, or other items that do not fit into the specific budget categories.

PROPOSAL INCOME:
Proposal Income must equal Proposal Expenses.  Grant request funds from the Salina Arts and Humanities Foundation should appear on line 8 of the Budget Sheet.  Do not show any income that your organization is handling as a fiscal agent for another organization when you apply for funds for your own activities.

Earned Income sources may include fees, sales, concessions, contracted revenue, income from endowments, etc.

Total Applicant Income must be at least one-half (50%) of the total project expenses.

Please provide a financial statement for your organization’s most recently completed fiscal year.

Download Budget Form Fill Document here: http://www.salinaarts.com/pdfs/Horizons_Budget_Sheet.docx

Upload Completed Budget Sheet (250MB max)

Upload Financial Statement for your organization's most recently completed fiscal year. (250MB max)

XII. Additional Application Documents

Upload resumes or bios of the applicant organization's key personnel and other project collaborators

Upload Letters of Support (3)

Upload Promotional Materials (Maximum 5 pieces)

Upload Work samples, if applicable (Maximum 6 digital images, audio or video recordings, literary writing, musical scores)

XIII. Certification

Any grant funds received in conjunction with this application shall be expended only for the project as described in the application form.   Any changes in this project or budget must be submitted in writing and are subject to the approval of the Salina Arts & Humanities (SAH) Foundation. 

The Horizon Grants Program is funded in part through private donations from the Horizons donors group.  During the grant process, artists or key project personnel may be required to participate in an activity for donors.  If necessary, additional artistic cots will be assumed by the Horizon program.  Also, requests for special seating, showings, or other appropriate activities may be made, working in cooperation with the Grantee.  

Applicant must comply with Title IV of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and where applicable, Title IX of the Education Amendments of 1972.  Title IV, Section 504, and Title IX prohibit discrimination on the basis of race, color, national origin, handicap, or sex. 

If funds are awarded, Grantees must maintain financial records relating to this project for a period of three (3) years and are subject to the period audits by SAH. In additional, SAH reserves the right to monitor the Grantee to ensure that applicable terms of the grant are being met. 

The Grantee shall provide SAH/City of Salina with a certificate of insurance, indicating general liability coverage of not less than $500,000.

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