The following application must be submitted by the theater organization producing the show. Beneficiaries of this grant are eligible to be considered 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)STUDENT/PARTICIPANT DEMOGRAPHICSCompletion 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/ETHNICITYCompletion 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 NativeAsian or Asian AmericanBlack or African AmericanIndigenous North AmericanMiddle Eastern or North AfricanMulti-Racial or Multi-EthnicNative Hawaiian or Pacific IslanderWhiteIf 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?FemaleMaleNon-binaryOther 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?5-910-1213-1818-2121-23Your Project/ProgramProgram/Project Name(Required) Describe the production, the component activities, and how they relate to social justice(Required)What are your goals for the participants?(Required)How will Scarlet Sock funds be applied to your project?(Required)How will you evaluate if you’ve met your goals or not?(Required)If this is year 2 or 3 for this grant, please note any changes/improvements in the proposed project based on learned successes and needsDevelopment, Rehearsal and Production Dates(Required)CostsPlease attach a line item budget for this projectMax. file size: 256 MB.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. 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