Education Outreach Program Application

* Required

Organization Name *

Contact Name *

Contact Email Address *

Project title/description *

How will the participating children benefit? *

Beginning/end date of project *

Estimated number of children served *

What are the age ranges and/or class designations of the participants *

Does this project serve an at-risk, low-income,underserved population? Please explain *

Please list the schools participating in the program and each school’s percentage of students enrolled in the free/reduced lunch program *

List any community partners/collaborations *

List other funders for the project *

Amount Requested *

How will Allied Arts funds specifically be used? *

Attach project budget*

Is your organization’s board leadership aware that this grant has been submitted? *