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2. APPLICATION - A $1,500

   AREAS OF CONCENTRATION: 

   A presentation or exhibit of your particular art form leading to an exhibition, performance or staged reading. 

4. INSTRUCTIONS FOR APPLYING

   1. Read the General Guidelines & Checklist for the grant application.

   2. Answer all questions completely. 

   3. Have all necessary attachments ready to upload in PDF format when filling out the application. 

   4. Use the feature "Save Progress" prior to starting the application to create a profile and password. This feature will allow you to close the document, save your information, and return to the application and its contents.

   5. Fields with asterisk are required. To ensure you have all fields completed, type n/a for any unanswered questions. Call the Arts & Culture Office at 860-638-4511 with questions.

6. Applicant Designation

   1. Resident, Part-Time Artist
   2. Resident, Full-Time Artist
8. APPLICANT NAME AND TITLE*
9. EMAIL ADDRESS*
11. MAILING ADDRESS (City, State, Zip)*
12. WEBSITE AND/OR SOCIAL MEDIA ADDRESS*
14. SHARE YOUR ARTISTIC FOCUS AND MEDIUM*

    What do you perform or create, and why? 

15. PAST PERFORMANCE OR EXHIBIT*

    Explain the details of your last performance or exhibit, to include date, time, place and audience size. 

17. PHONE NUMBER*
21. TYPE OF EVENT*
    -- Select One --EXHIBITIONLIVE PERFORMANCESTAGED READINGOTHER
22. TITLE OF EVENT*
23. LOCATION OF EVENT*
25. PROPOSED DATE AND TIME OF EVENT*
    PROPOSED DATE AND TIME OF EVENT Start Date

    PROPOSED DATE AND TIME OF EVENT Start Time

    —

    PROPOSED DATE AND TIME OF EVENT End Date

    PROPOSED DATE AND TIME OF EVENT End Time
27. EVENT DESCRIPTION *

    Explain in detail the concept of the event or production and how it aligns with the theme of the 250th Arts Engagement initiative. 

29. USE OF FUNDING*

    Explain in detail how $1,500 will be utilized to execute the proposed project. 

31. BUDGET FORM*

    Use this form provided.

33. ENGAGEMENT OF AUDIENCE AND PUBLICITY STRATEGY*

    Explain how your project intends to engage members of diverse communities and promote multicultural arts & cultural experiences. 

    List all planned methods, marketing tools, website, and social media addresses that will be used for advertising your project or general programming for the organization. 

35. COLLABORATORS AND COMMUNITY PARTNERSHIP*

    List titles or names of artistic/creative staff, collaborators, cast members and volunteers to be involved in the production of the project. 

37. LETTER OF SUPPORT - Individual Applicants Only*

    Use this form provided.

39. Electronic Signature*

    I, the authorized representative, grant writer and applicant, certify that the information presented in this application is correct and complete to the best of my knowledge. Entering your name here constitutes an Electronic Signature. 

    Applications must be received by the MCA Office Staff by 4 p.m. on the day of the deadline. Staff will confirm receipt of application by email. Applications submitted after the deadline will not be considered.  

41. AFFIRMATIVE ACTION AND NON-DISCRIMINATION

    Applicants receiving MCA funds must comply with all governmental regulation concerning nondiscrimination. Grantees are prohibited from discriminating against any person or group of persons on the grounds of age, ancestry, color, genetic information, learning disability, marital status, past or present history of mental disability, intellectual disability, national origin, physical disability, including, but not limited to blindness, race, religious creed, sex including pregnancy, transgender status, gender identity or expression, sexual orientation, workplace hazards to reproduction systems, political belief, military or veteran status, or criminal record in accordance with §46a-60(a)(1), 46a-80(b), or 46a-81(b) of the Connecticut General Statutes. Unless provisions are controlling or there is a bona fide occupational qualification excluding persons in one of the above protected groups, in any manner is prohibited by the laws of the United States or of the State of Connecticut and the City of Middletown. In addition, the Connecticut Fair Employment Practices Act, Connecticut General Statutes §46a-51 et seq., (CFEPA), not only prohibits discrimination based on actual physical disability, but also applies to discrimination based on perceived physical disability. The grantee also agrees to provide the Affirmative Action Officer of the City of Middletown with such information that may be requested concerning the employment practices and procedures of the grantee as related to the provisions of Chapter 26, Article I of the City of Middletown Ordinance. ADA COMPLIANCE Applicants receiving MCA funds must comply with the Americans with Disabilities Act (ADA) by making appropriate and reasonable accommodations to ensure that people with disabilities have equal physical and communications access to services and programs, as defined by federal law. If an applicant’s facilities or activities do not meet the standards of the ADA, the applicant maybe ineligible for MCA funding. FREEDOM OF INFORMATION ACT Applications and all information submitted will become public records under the Freedom of Information Act, C.G.S. § 1-200, et seq., unless specifically exempted by the Act. 

    
    

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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

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