Entry to Program Stream Pennsylvania Partners in the Arts Program

ARPA PENNSYLVANIA ARTS AND CULTURE RECOVERY (PACR)

(ARPA - American Rescue Plan Act)
Applicant:

Legal Name
Name*

First NameLast Name
Business Name
FEIN (9 digits, no spaces/ hyphens)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload proof of residency (utility bill, state-issued identification card, etc.)*

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Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Eligibility Information
Are you applying as an artist or creative entrepreneur?

ArtistCreative Entrepreneur
What is your artistic discipline?
OR
Upload your 2019 tax return and at least one tax return from 2020-2023, and include Schedule C if applicable. Please select materials that demonstrate the most significant gap in your creative income. If you are unable to provide these documents and have another way to demonstrate your pandemic related change in income, contact ECCOTA directly.

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If you are unable to provide these documents and have another way to demonstrate your pandemic related change in income, contact ECCOTA directly.
Have you received assistance from any other programs related to the pandemic? For example, the NWPA Arts Recovery Grant between 2020-2023. Note: funds from this program may not be used to reimburse lost revenues that have already been reimbursed by other sources, including philanthropic and federal, state, and local government sources.
Describe how the pandemic has impacted your creative career by comparing your creative work and operations before and after the pandemic. Consider addressing the volume of work, working conditions, vending challenges, supply chain issues, etc.
Artist Biography/Business Description*

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Recent Work Samples*

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Website and/or Social Media Handles*
For Data Collection Only

(all responses are optional)
Gender Identity
County you reside in:

CameronElkForestMcKeanPotter
What category does your creative business fall under?

Communication & MarketingArchitectureVisual Arts & CraftsDesign - Product, Interior, Graphic & FashionDigital & Analog Media - film, television, web & radioDigital gamesPerforming art & live entertainmentPublishing
Race/Ethnicity
Ability/Disability
Age
How did you hear about this program?
APPLICATION CHECKLIST*

Reviewed the GuidelinesCompleted Required ApplicationAttached 2 pieces of tax documentationAttached proof of residencyIncluded biography/business descriptionAttached documentation of your work-images, links in a PDF, website, and/or social media.
The Applicant makes the following representations and warranties to Elk County Council on the Arts. Effective as of the submission of this Application, the Applicant hereby represents and warrants to the best of its knowledge and belief that:

1. The information the Applicant presents in this application and any attachments there to is true and correct.

2. If the Applicant has received pandemic support from other sources in the past, it has been expended and the Applicant will not allocate the PACR grant towards those same expenses.
I have read and understand the above.
Signature*

Clear
Should be Empty:

ARPA PENNSYLVANIA ARTS AND CULTURE RECOVERY (PACR)

Applicant:

Eligibility Information

OR

For Data Collection Only