Grant Application

Name of School Applying for Grant *

School Address *

School City *

School State *

School Zip Code *

School Website URL *

Name of Principal *

Principal's Email *

Applicant First and Last Name *

Applicant Title

Applicant Phone Number *

Applicant Email *

Applicant Address *

Applicant City *

Applicant State *

Applicant Zip Code *

Are you an employee of the school listed above? *

Yes

No

Select your State Education/Administrator Association: *

Name of Local Association (if applicable or type "none")

What art or music program would benefit from this grant? *

How many students are in this program?

What grade level(s)? *

Rationale For Grant *

Need-Based

Project-Based

Does your school receive any funding from the School District? *

Yes

No

Please explain in 10 lines or less if this program is impacted by budget cuts, and how the grant funds will be allocated. *

How did you hear about the California Casualty Music & Arts Grant? *

Is this music or arts program in jeopardy of being eliminated? *

Yes

No

The California Casualty Music and Arts Grant program will consider grant requests for public K-12 schools whose music and arts programs are in jeopardy or in great need of funding only in the following states: Arizona, California, Colorado, Idaho, Kansas, Oregon, Wyoming.

Please review the Grant Guidelines & Conditions for additional information.