Child/Young Adult Group Grant for Field Trip, Residency or Visiting Artist : Scarlet Sock Foundation

The following application may be submitted by the hosting organization or the visiting artist themselves. Beneficiaries of this grant are eligible to be considered if the majority have a demonstrated financial need, are between 5-23 years of age, are a resident of Hampden, Hampshire, Franklin, or Berkshire counties of Western Massachusetts, and the majority are from historically marginalized populations.

Type of Program (check one)(Required)

Field Trip

Residency

Visiting Artist

Project Lead Name(Required)

First Last

Organization Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

STUDENT/PARTICIPANT DEMOGRAPHICS

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

Total number of participating students(Required)

How many of your students are eligible for free or reduced lunch?

How many are first-time theater goers?

How many students come from single-parent households?

RACE/ETHNICITY

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

How many of your current participants/students identify as Hispanic or Latino?

Regardless of your answer to the prior question, how many of your participants/students identify as:

Alaska Native

Asian or Asian American

Black or African American

Indigenous North American

Middle Eastern or North African

Multi-Racial or Multi-Ethnic

Native Hawaiian or Pacific Islander

White

If none of the above apply, please specify additional ethnicities and the number of students who identify with each ethnicity:

GENDER (Required)

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

If this information is already available to you, how many of the participants fall into the following categories?

Female

Male

Non-binary

Other

If other, please specify

AGE (Required)

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

How many of your students/participants are in the following age brackets?

5-9

10-12

13-18

18-21

21-23

Your Project/Program

Program/Project Name(Required)

Describe the project/program and activities(Required)

When does this project/program occur?(Required)

What are your goals for participating in this project/program?(Required)

How will you evaluate if you’ve met your goals or not?(Required)

Costs

Project/Program Fees

Transportation

Supplies

Total Amount Requested(Required)

Expectations from Scarlet Sock Foundation: Completion of a short data collection survey (to be completed by applicant or the person completing this application) and an invitation to present at SSF’s annual spring gala.