Clone of 2026 Delaware County Arts Grant Community Arts Application

The Roxbury Arts Group is proud to work in partnership with Smart Energy Choices, the Southern Tier's Regional Clean Energy Hub. Smart Energy Choices is a program of Cornell Cooperative Extension that provides free energy advising to residents, small commercial, non-profit and multifamily building owners and managers to help them reduce their energy use, switch to renewable energy, save money, and improve the comfort of their homes and buildings. The Roxbury Arts Group is proud to, with SEC's funding, offer $12,000 in grant allotments of $1,000-$4,000 to produce art that highlights clean energy and Smart Energy Choices. www.smartenergychoices.org

W-9 Form

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Project Title*

One sentence description of the project*

This one-sentence description will be used to promote your event by the Roxbury Arts Group should it be funded. Include your/organization’s full name and a brief description of the event.

Name*

Email*

example@example.com

I am a singular artist.I am a representative of an arts group or collective.I am a staff member of a school or school-associated organization.I am a representative of a non-profit or other organization.

How did you hear about this grant?*

If representing a school, arts collective or organization, enter information below.

Name of Organization

Organization Email (if different from your own)

example@example.com

Organization Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Organization Website

Artistic Discipline of Organization

Type of Organization

W-9*

All applicants must upload a W-9 form. The W-9 must be dated in the current year. If applying as an individual, the name in this W-9 must match the name that has Delaware County Residency. Non-profit applicants must include their non-profit EIN.

Proof of Delaware County Residency*

Applicants must submit proof of Delaware County residency. These can be driver's license, ID, utility bill, telephone bill, credit card or bank statement, current rent/mortgage agreement listing your name and Delaware County Address, or Voter Registration Card. Your address and name must match those on the W-9. Other methods of residency proof for non-profits could be a Certificate of Incorporation.

Letters of Commitment

If you are working with a venue you should upload a letter of commitment between you and the venue discussing their agreement to host or be the site for your project. You may also upload any letters of commitment between you and any artists you will be working with, as well as any venues you plan to use. These are not required but will make your application stronger.

Letters of Authority

If you are applying on behalf of an school or organization you need to upload a letter of authority showing you have permission to apply. This letter should; be on the organization’s letterhead if applicable, be signed by at least one other member or board member, be dated in the current year, and detail you have permission to apply.

Artistic discipline of the project*

Number of artists involved*

Resume/CV*

Upload a resume/CV to show how you are qualified to execute this project. If you are not the presenting artist you may supply a bio and resume for the artistic personnel as well.

Work samples of artistic personnel*

Upload work samples to show how the artists are qualified to execute this project. A sketch of the proposed project is highly recommended. If of 2D or 3D art, samples have to be the actual images of the work, not links to websites. Please upload between 3 and 15 files.

Upload video work samples online and provide web addresses to access them.

0/100

How is the artistic personnel skilled, knowledgeable, or experienced to effectively handle this project artistically? Have the artistic personel done similar projects in the past?*

0/250

How are you skilled, knowledgeable, or experienced to effectively handle this project administratively? Have you handled projects at a similar scale before? How will you cope with unexpected changes that might occur, such as partial funding, sickness, inclement weather?*

0/250

What is the proposed project? Provide detail about your artwork, timeline, locations, etc.*

0/500

To what degree and how will you integrate Smart Energy Choices and clean energy concepts into the artwork? How will the work bring awareness to these concepts?*

0/500

How will you raise awareness of this project? What is your outreach plan to publicize your project?*

Is it supported in your project budget? Who do you hope to reach? Who is your target audience?0/300

How will you engage the community with this project? How will you track the degree of community engagement?*

How will you track engagement - social media likes, etc0/300

Expected Audience *

Expected audience amount

Budget Expenses (Ensure all expenditures meet eligibility requirements by referring to the current year’s guidelines*

Rows	Explanation	Amount Covered by Grant
Artist Fees
Project Materials and Supplies
Marketing and Promotion
Travel (by mileage, $0.725 per mile)
Food Expenses
Rental - Equipment/Facilities
Printing

Grant amount requested

You may request between $1,000 and $4,000.

What specifically will you use Smart Energy Art Grant funds to pay for? Expand on the explanation section above. *

Ensure all expenditures meet eligibility requirements by referring to the guidelines.0/300

I (the applicant) have carefully read the Smart Energy Arts Grant Guidelines and confirm that I, my project and my expenditures are eligible for this grant.

I acknowledge this.

I confirm I am 18 or older.

I confirm I, or a representative from the organization this application pertains to, have been the majority author of this application.

The undersigned certifies that you (1) are an authorized signatory on behalf of the organization; (2) have knowledge of the information presented herein; (3) have read and understood the guidelines of the Roxbury Arts Delaware County Arts Grant Program and complies with and is made subject to said guidelines; (4) releases RAG, its employees and agents with respect to damages to property or materials submitted with this application.*

I agree to the certification detailed above.

Smart Energy Art Grant Application

Project and Engagement Information

Budget

Confirmations