Echo Mountain Artists' Fund
Grant Application
Full Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Prior address if displaced
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
E-mail
example@example.com
Emergency/message contact
What is your art form?
*
Is your art personal or professional (do you file taxes)?
*
Where do you show, sell or perform?
*
Did you lose studio or workspace as a direct result of the Echo Mountain Fire?
*
Did you lose tools, supplies, books, machinery, instruments or other components of your art as a direct result of the Echo Mountain Fire?
*
Did you lose your own artwork for display, sale, or contract as a direct result of the Echo Mountain Fire?
*
Do you or anyone else have insurance that may cover any of these losses?
*
What do you want from the Echo Mountain Artists' Fund?
*
How much do you think it would cost?
*
Are you facing a deadline this grant might help you make?
*
Is there anything else you want us to know
If you are approved for a grant, you will be required to provide photos of your work, a brief story (50-150 words) and an IRS W9 form (provided by us) to report your grant as income for the 2021 tax year.
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