Grant Application 2022-2023

HEARTS 2022-2023 GRANT APPLICATION

Port Washington School District and Port Washington Community Grants
HEARTS is thrilled to bring the Port Washington Schools and surrounding community the opportunity to apply for grants in the arts, during the 2022-2023 year. While COVID-19 is still a risk, we feel that the inclusion of art, music, theater and other art forms are just what the community needs to feel more positive. We welcome the community the opportunity to apply for funding for valuable programs.

Please fill in all fields below. Please attach any necessary documents (budget spreadsheet or resumes) in the form where directed. Please click submit only when the form is complete. Once you click on submit you can no longer access the application.

Please note that there is no save button. However, you can begin your application and return to it later. Your data will automatically be saved in your local browser storage every 30 seconds for up to 4 weeks. This means that your entries can be accessed only from the same computer and browser on which you began the form. We strongly suggest that you answer the program narrative questions in a Word document and keep a saved copy on your computer. Thank you and good luck!

APPLICATION DUE DATE: Friday, April 8, 2022

NOTIFICATION DATE: Early June, 2022

Funded programs must take place between September 2022 and June 2023.

Please contact Michele Posner Goldman with any questions. mposner36@gmail.com
CONTACT INFORMATION
Name *
Address *
Telephone *
E-mail *
Please indicate which of the following applies to you:

Teacher in the PWSD Administrator in the PWSD Parent or Community Member PW Non-Profit Organization
SCHOOL DISTRICT GRANTS

(If you are applying for a Community Grant, please skip to the next section)
School
Grade
Subject
COMMUNITY GRANTS

(If you are applying for a school-based grant, please skip this section.)
Non-Profit Organization
Age range of Participants
FUNDING REQUEST SUMMARY
Program Title *
Art Focus - Select all that apply:

Music Theater Dance Sculpture Ceramics Writing & Poetry Photography Film & TV Architecture Fashion, or Graphic Design Painting & Drawing STEAM (Science, Technology, Engineering, Art & Math)
Grade or Age Level *
Total $ Amount Requested *
Total Program Cost (Including additional funding sources) *
Program Dates (Estimated) *
Program Location *
Are you a teacher or administrator in the PWSD? *

YES NO
Is this funding for a new program? *

YES NO
PROGRAM NARRATIVE
1. If submitting a school grant, please state the name of your supervisor or building principal, along with their contact number at the start of this narrative. This affirms they have approved this grant submission. This verification will be used as an official approval from them. NOW - Please describe the program for which you seek funding. *
2. Describe the population you plan to serve and number of participants. *
3. What are your goals and objectives? *
4. What outcomes do you hope to achieve? How do you hope to impact the lives of the participants through the arts? How will you measure and evaluate your outcome? *
5. What are the estimated dates of the program? Will the program take place in one day or over multiple days or weeks? *
6. Do you plan to secure any additional funding from other sources for this program? Please tell us to whom you plan to apply, if appropriate? *
7. Who will be leading this program? If not you, please give us a short narrative or a resume on who the person is.
Attach Resume Here
FINANCIAL INFORMATION
Please provide an anticipated expense budget for the program. Possible costs might include materials, space, and staff etc. If applicable, please list any anticipated revenue. Attach a spreadsheet or list income/expenses here.
Attach Budget Spreadsheet Here
Please note that grants must be completed between September 2022 and June 2023. If for some reason anything changes to this time frame, please let us know. By submitting this application, you agree to participate in our marketing efforts by collecting photos and testimonials of your HEARTS program, should it be approved. Thank you.
PLEASE CLICK THE SUBMIT BUTTON BELOW ONLY WHEN YOUR APPLICATION IS COMPLETE. YOU WILL NOT BE ABLE TO ACCESS THIS APPLICATION ONCE YOU CLICK SUBMIT.

Please email Michele Posner Goldman if you have any questions on the application process - mposner36@gmail.com
Thank you for taking the time to complete this application for a HEARTS grant. We look forward to reading it.
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HEARTS 2022-2023 GRANT APPLICATION