KDA Scholarship Application

KDA GRANT APPLICATION FORM
Kern Dance Alliance Grant Eligibility Requirements (please click all that apply):*

Applicants must reside or operate in Kern CountyApplicants must be a Kern Dance Alliance Organization MemberKDA Grants may only be used for the following:
- Capitol Improvements (ballet barres, mirrors, floors, etc)
- Travel to workshops/conventions/competitions
- Technology (AV equipment, etc)
- Projects (performances. collaborations, etc)
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PREPARATION

Please be prepared to upload the following items before completing and submitting this application.
Applicants must submit the following:
- Completed Online Form Submission
- Grant Proposal Narrative
- Grant Budget
Grant Proposal Narrative + Budget:
1. Please describe your organization, its mission, and history. (10 points)
2. Project Description - Project Title and information about the project. (20 points)
3. Project need - Please explain the need for your project. (10 points)
4. Goals and Objectives of Project - Please list the goals of this project. How will the approval of these grant funds aid in meeting your organization’s goals? (10 points)
5. Community Engagement - Describe the audience and/or participants that will benefit from this project? Include geography demographics (income level, age, special or minority populations, etc). (10 points)
6. What are the anticipated numbers served by this project? (10 points)
7. Publicity/Promotion - Describe the methods you intend to promote this project, including publicity, educational materials, etc. (10 points)
8. Itemized Budget Breakdown - Must include the following: (20 points)
  
  - Breakdown of all costs
  - Proposed total costs
  - Matching Funds
  - Other contributions
  - In-kind services
  - Amount requested from Kern Dance Alliance (not to exceed $500)
Kern Dance Alliance Grant Award Obligations:

Once awarded, you will receive a contract with your notification of a grant. The contractual agreement must be signed and returned to Kern Dance Alliance.

The grant recipient will then receive 75% of the awarded sum. The remaining balance of the money will be sent with the completion of a final report that includes:
1. Submission of copies of all printed materials and publicity. Any publication and/or printed materials for funded events must carry the following quote: “The “name of your event” is supported by an Organizational Grant from the Kern Dance Alliance.” (if applicable)
2. Bills or receipts and/or cancelled checks for the expenditures requested in the grant request. Submit a break down of costs.
3. A brief evaluation of the project’s impact on your organization.

APPLICANT INFORMATION
Contact Name*

First NameMiddle Initial Last Name
Contact Address*

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
ORGANIZATION INFORMATION
Name of Organization*
Tax ID Number*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Organization Phone Number*

Area CodePhone Number
Organization E-mail*

PROJECT INFORMATION

Please provide details about the project you wish to have funded.
Project Name*
Brief Project Description*
250 words max.
PROPOSED PROJECT DATES (if applicable)
Program START

MonthDayYear
Date
Program END

MonthDayYear
Date
PREFERRED DATE OF FUNDING*

MonthDayYear
Date
TOTAL COST OF PROJECT*
Your Contribution*
Contributions From Other Sources*
Requested Grant Amount*
Not to exceed $500

FUNDING AGREEMENT
If awarded full or partial funding, applicant agrees to the following (please check each statement):*

If my proposed project changes in way, I will notify KDA of the proposal changes.I will submit a receipt to KDA upon payment.I will complete a final report outlining how the KDA Grant aided in my organization.
Applicant Signature*

SUPPLEMENTAL MATERIALS
Applicants must submit the following:
- Completed Online Form Submission
- Grant Proposal Narrative
- Grant Budget
Grant Proposal Narrative + Budget:
1. Please describe your organization, its mission, and history. (10 points)
2. Project Description - Project Title and information about the project. (20 points)
3. Project need - Please explain the need for your project. (10 points)
4. Goals and Objectives of Project - Please list the goals of this project. How will the approval of these grant funds aid in meeting your organization’s goals? (10 points)
5. Community Engagement - Describe the audience and/or participants that will benefit from this project? Include geography demographics (income level, age, special or minority populations, etc). (10 points)
6. What are the anticipated numbers served by this project? (10 points)
7. Publicity/Promotion - Describe the methods you intend to promote this project, including publicity, educational materials, etc. (10 points)
8. Itemized Budget Breakdown - Must include the following: (20 points)
  
  - Breakdown of all costs
  - Proposed total costs
  - Matching Funds
  - Other contributions
  - In-kind services
  - Amount requested from Kern Dance Alliance (not to exceed $500)
Kern Dance Alliance Grant Award Obligations:

Once awarded, you will receive a contract with your notification of a grant. The contractual agreement must be signed and returned to Kern Dance Alliance.

The grant recipient will then receive 75% of the awarded sum. The remaining balance of the money will be sent with the completion of a final report that includes:
1. Submission of copies of all printed materials and publicity. Any publication and/or printed materials for funded events must carry the following quote: “The “name of your event” is supported by an Organizational Grant from the Kern Dance Alliance.” (if applicable)
2. Bills or receipts and/or cancelled checks for the expenditures requested in the grant request. Submit a break down of costs.
3. A brief evaluation of the project’s impact on your organization.
GRANT PROPOSAL NARRATIVE*

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GRANT BUDGET*

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SUBMIT FORM
Thank you for taking the time to complete the Kern Dance Alliance Grant Application Form.
Your application will be reviewed and you can expect to hear from us within 48 hours to confirm receipt of form and materials.

PLEASE PRINT THE COMPLETED FORM FOR YOUR RECORDS.

WHEN YOU'RE CONFIDENT EVERYTHING IS COMPLETE AND CORRECT, CLICK "SUBMIT APPLICATION"!

Should be Empty:

KDA GRANT APPLICATION FORM

PREPARATION

APPLICANT INFORMATION

ORGANIZATION INFORMATION

PROJECT INFORMATION

FUNDING AGREEMENT

SUPPLEMENTAL MATERIALS

SUBMIT FORM