General SJT Project Grant Application THIS APPLICATION IS FOR APPLICANTS WITH SIGNIFICANT EXPERIENCE WHO HAVE A PROJECT THAT OTHERWISE MEETS OUR CRITERIA. The following application must be submitted by the 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 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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 ProjectProject Name(Required) Describe your play/project and how it relates to social justice.(Required)What are your goals for this production?(Required)How will you evaluate if you’ve met your goals or not?(Required)How will Scarlet Sock funds be applied to your project?(Required)Development, Rehearsal and Performance Dates and Location(Required)CostsPlease attach a line item budget for this project(Required)Max. 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. Δ