Grant Application – Part IDownload this Form (Printable PDF)2025 ACPC Grant Application – Part IGrant Category (Please Choose One)* After-School Arts Education in Schools ($250-$1,500) Arts Organizations – Non-Profit or Fiscal Sponsor ($500-$2,500) Arts Organizations – For Profit, scholarships only ($500-$2,500) Performers/Artists ($250-$1,500) Public Art/Special Arts Projects ($1,000-$2,500) Film Projects ($500-$1,500)Non-Profit Number (EIN)*(Non-profit must be in good standing with the Secretary of State, CA)Tax ID Number*Please provide your Tax ID Number$ Amount requested*Please enter a number from 250 to 1500.After-School Arts Education in Schools ($250-$1,500)$ Amount requested*Please enter a number from 500 to 2500.Arts Organizations – ($500-$2,500)$ Amount requested*Please enter a number from 250 to 1500.Performers/Artists ($250-$1500)$ Amount requested*Please enter a number from 1000 to 2500.Public Art/Special Arts Projects ($1,000-$2,500)$ Amount requested*Please enter a number from 500 to 1500.Film Projects ($500-$1,500)Name of Organization or Individual*Full Name of Authorized Contact Person*Phone Number of Authorized Contact Person*Email of Authorized Contact Person* Full Name of Backup Contact Person*Phone Number of Backup Contact Person*Email of Backup Contact Person* Name, address, contact information of the fiscal sponsor, if applicableWebsite Link*Social Media Links (List one per line)Program InformationOpening date of your event/project/program* MM slash DD slash YYYY (to be opened no sooner than March 1, 2025)Completion date of your event/project/program* MM slash DD slash YYYY (to be completed no later than December 31, 2025)Detailed Budget of your event/project/program to be funded*Detailed breakdown of expenses to be covered by this grant, broken down by line item (one expense per line. Please note items listed in the instructions that are not covered.)*Describe your event/project/program (use as much detail as possible, 300 words max.)*If your project is planned to be installed on property (sculptures, murals, etc.) who/or what entity has granted installation permission (city, town, or private owner)?For sculptures, murals, etc. planned to be installed, please include pictures, schematics, and the written approval from city/town/individual. This must be submitted before any funding will be provided.Will your event/project/program create temporary, part-time, or full-time paid jobs? (If so, explain. 300 words max.)*Will your event/project program lead to other benefits such as workforce development, business attraction and retention, etc.? (If so explain. 300 words max.)*Describe in detail your marketing plan for this event/project/program. (300 words max)*Will your event/project/program attract people from out of Placer County?*How many attendees do you estimate will be likely to stay at a hotel or short-term rental?*How many attendees do you estimate are likely to dine out?*How many attendees do you estimate are likely to visit local businesses/shops, etc.?*How will you accommodate the special needs population?*Will you have a special area set aside for guests in wheelchairs, families with strollers?*Will you offer an ASL interpreter? Yes NoWill you offer a bilingual interpreter? Yes NoWhat is the age group of the target audience/customer/attendee?*How many people do you estimate will participate in, or benefit from your event/project/program? (This also pertains to an artist or group creating something in the community.)*What percentage of Placer County residents do you estimate will participate in your event/project/ program?*What metrics will you use to evaluate the success of the event/project/program?*Would you be willing to allow ACPC to have an “outreach” table with one or two ACPC staff at your event or program at no cost to ACPC.*Final InformationAs part of your grant funding we require that you:Register in ACPC’s Art Directory andSubscribe to our mailing list for event announcements, calls to artists, breaking news and more. Please register prior to submitting this grant application. (All grant applicants must register for both for your grant application to be considered.) Grant check made out to (if using a fiscal sponsor, please provide their name here)*Address to mail check (if using a fiscal sponsor, please provide their mailing address here)* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code W-9 Form Upload*Accepted file types: pdf, jpg, tif, Max. file size: 2 MB.W9 to be filled out and submitted by approved Grantees immediately in order to receive first 50% grant funding.Any additional information you would like to add to help us decide to approve your grant. (Optional. 300 Words Max)Electronic SignatureI agree that the insertion of data into the following fields constitutes an electronic signature.* YesIf I/we are approved to receive grant funds, I/we hereby understand and agree to submit Part II Grant Report within thirty (30) days after the close of our event/project/program. If I/we do not submit Part II Grant Report on time, I/we agree that I/we will forfeit the second 50% of our grant payment. (I/We understand that if our event/project/program does not go forward, ACPC may request that the first payment be returned to ACPC.)* YesI certify that I am authorized by the Executive Director and / or Board of Directors to submit this proposal on behalf of the organization.* YesThe information I have submitted herein is true and accurate.* YesΔ
