SDCEA COVID-19 Musician Support Application

FOR MUSICIANS
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you 18 or older?

Yes No
Do you regularly play for RSCDS Boston Branch classes or events?

Yes No
Which status best describes you?

Music performance is my main source of income Music performance is a supplemental source of income
Total income you have lost or anticipate losing due to cancelled gigs
Gigs cancelled due to COVID-19 (list)
Total Amount of Funding Requested (up to $500)
Other Funds Available
Please list any other sources of COVID relief funding available, received, or due to you, including SDCEA funds requested by event organizers. Enter NA (not applicable) if you certify that no other funds are available.

FOR BRANCH CLASSES & EVENT ORGANIZERS
Class or Event Name
Contact Name

First Name Last Name
Contact Email
example@example.com
Contact Phone Number

Area Code Phone Number
What classes or event(s) have you had to cancel due to COVID-19?
What was the music budget for those classes or event(s)?
Musicians affected by those cancellations
To avoid duplication, please inform musicians that you are applying for SDCEA funds.
Total Amount of Funding Requested (not to exceed the original budget):
How are you planning to allocate these funds?
E.g. $__ to each affected musician, divided unevenly based on original fee, etc.
Should be Empty:

SDCEA COVID-19 Musician Support Fund