DO YOU NEED FUNDING FOR SOMETHING NOT COVERED BY ANOTHER SSF GRANT? IF SO, CONSIDER SUBMITTING A MISCELLANEOUS GRANT APPLICATION! The following application may be submitted by an emerging theater artist or a project leader. Beneficiaries of this grant are eligible to be considered if they are 18+ years of age, residents of Hampden, Hampshire, Franklin, or Berkshire counties of Western Massachusetts, and are from historically marginalized populationsProject 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)Please attach a current CV(Required) Drop files here or Select files Max. file size: 256 MB. Total number of participants(Required)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.RACE/ETHNICITY (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 the participants identify as Hispanic or Latino?(Required)Regardless of the answer to the prior question, how many of the participants 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 participants 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 Your Project/ProgramProgram/Project Name(Required) Describe the project/program and how it relates to social justice.(Required)What are your goals for this project/program?(Required)How will you evaluate if you’ve met your goals or not?(Required)Describe the timeline for this project.(Required)How will Scarlet Sock funds be applied to your project?(Required)CostsBreakdown of Costs(Required)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. Δ