DRAFT 2027 Program Support Application

2027 Program Support Application

Funded by the New York State Council on the Arts, a state agency Decentralization Program with the support of the Office of the Governor and the New York State Legislature; administered by the Lower Adirondack Regional Arts Council.
PLEASE NOTE:

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APPLICANT INFORMATION
Organization’s Legal Name
County
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website
Primary Contact Name
(First, Last)
Did you attend a seminar in 2026 or schedule a one-on-one meeting with the Grants Coordinator?
Primary Contact Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization Mission Statement
Incorporated Year
NYS Assembly District
NYS Senate District
US Congressional District
FINANCIAL INFORMATION REFLECTING THE MOST RECENT FISCAL YEAR
Fiscal Year Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Fiscal Year End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Revenue
Expenses
Savings & CDs
Investments
FINANCIAL STATEMENT

Provide the most recently completed fiscal year’s financial statement. This could be a Treasurer's Report or a copy of the IRS 990 Form.
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PROOF OF NON-PROFIT STATUS

Organizations: Upload Receipt from NYS Charities Bureau Filing (must be within the last 24 months) Municipalities: Upload a letter on village, town or county letterhead, signed by the mayor, in support of the proposal
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PROOF OF RESIDENCY

Examples include: utility bill, telephone bill, credit card or bank statement, current rent/mortgage agreement listing organization name and address.
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LIST OF BOARD OF DIRECTORS

Name, Phone Number, Officer Labels
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Upload Most Recent Board of Directors Meeting Minutes

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APPLICANT HISTORY
Have you ever applied DIRECTLY to NYSCA?
If yes, what year?
Have you applied for a LARAC grant in the past 3 years?
If yes, did you receive funding?
Name of project most recently, previously funded
Dates of previously funded project
PROJECT INFORMATION
How Many Projects are you applying for? (You will submit a separate application for each project)
Project Title
Summarize your project in one clear, concise sentence
Grant Amount Requested (between $500 - $5,000)
Project Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project Location
Is the venue or presentation site accessible?

Is this venue ADA Compliant? Are there steps up to the entry, doorways wide enough for wheelchairs, and accessible bathrooms? If not what measures will you take to make sure it is as accessible as possible? Check your compliancy on the ADA website: https://www.ada.gov/law-and-regs/0/500
How many times will this be presented?
Number of Artists Involved
Number of Youth Involved
Number of Adults (18+) Involved
Community Involvement
Select the discipline that best describes the project

Other (describe below)
If you selected "other" please describe:
Project Description

Include the following: 1. Describe your event in detail. 2. Name the performers/presenters/instructors involved. 3. Explain the project timeline from start to finish. 4. Why have you chosen to offer this program? Why is it important? 0/1250
If you are applying for a project that has been previously funded through a LARAC grant, how has the program changed or developed?

0/500
Describe the plan for execution of this program if partial/no funding is awarded.

0/500
Explain how you plan to market this program to the public. Print Marketing? Digital Marketing? Be specific.

0/500
Upload Resumes for Each Listed Artistic Personnel

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Upload Artistic Support Materials

Please refer to the guidelines for specific format/required material info File types: pdf, doc, docx, jpg, jpeg, png
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For video: please type the link to view your work samples online:

PROJECT EXPENSES

Rows	Description	Amount ($)
Artistic Fees (Instructors/Presenters/Performers)
Artistic Fees (Instructors/Presenters/Performers)
In-State Travel Expenses
Marketing (Printing)
Marketing (Postage)
Marketing (Digital Marketing Fees)
Artistic Materials (Supplies)
Artistic Materials (Equipment Purchase)
Artistic Materials (Rental)
Space Rental
Administrative Expenses (Personnel)
Administrative Expenses (Technical Fees)
Other - describe
Other - describe
TOTAL* (doesn't auto populate)

PROJECT INCOME (if applicable)

Rows	Description	Amount ($)
Donations or grants (Specify)
Admission
Concession or Sales
Workshop Fees
Individual Contributions
Fundraising Events
Other Grants
TOTAL *(doesn't auto populate)

Budget Narrative

How will grant funds be spent? (Please describe the expenses outlined in the tables above) Artistic Fees (Instructors/Presenters/Performers, In-State Travel Expenses) Marketing (Printing, Postage, Digital Marketing Fees) Artistic Materials (Supplies, Equipment Purchase/Rental, Space Rental) Administrative Expenses (Personnel, Technical Fees) Income0/1000
How will you pay for expenses not covered by this grant?

0/500
If awarded partial funding, would the program be able to move forward? What changes would be made to the program?

0/500
CERTIFICATION

The person signing below must be an officer of the Board of the organization applicant. The undersigned certifies that (s)he is a principal officer of the applicant organization with authority to obligate it; has knowledge of the information presented herein; has read the guidelines of the Arts Initiative Program and certifies that this application complies with, and is made subject to said guidelines; on behalf of the applicant, herewith releases the LARAC Board of Directors, its employees and agents with respect to damage to property or materials submitted with this application; and on behalf of the applicant, will be responsible for the administration and finances of the project(s) outlined herein as well as all reports and stipulations required of all Community Arts Grant grantees.
Name (print or type)

First NameLast Name
Title
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

2027 Program Support Application

PLEASE NOTE:

APPLICANT INFORMATION

FINANCIAL INFORMATION REFLECTING THE MOST RECENT FISCAL YEAR

APPLICANT HISTORY

PROJECT INFORMATION

CERTIFICATION