Child/Young Adult Group Grant for Materials : Scarlet Sock Foundation

The following application must be submitted by the theater organization requesting materials. Beneficiaries of this grant are eligible if the majority of the involved young people have a demonstrated financial need, are between 5-23 years of age, are residents of Hampden, Hampshire, Franklin, or Berkshire counties of Western Massachusetts, and the majority are from historically marginalized populations.

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?(Required)

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)

State your objective in 2-3 sentences(Required)

Describe the project/program and activities(Required)

This section is intended for a broader description of the details of your project.

Describe the materials requested and how they will benefit your program(Required)

How will access to these materials impact participant experience? Specifically, how does this application relate to social justice?(Required)

How will you measure participant impact? For example, did enrollment or audience numbers increase over time?(Required)

Funding Timeline(Required)

Costs

Breakdown of Costs(Required)

Total Amount Requested(Required)

Please attach your line item budget here

Max. file size: 256 MB.

Post Program Expectations

Completion of a short data collection survey (to be completed by applicant) and an invitation to present at SSF’s annual Spring Gala.