Artist in Residence Application

Today's date:

School year:

School:

Contact Person:

First Name:

Last Name:

Phone:

Artist:

First Name:

Last Name:

Description of Residency:

Number of classes involved:

Number of Students:

Budget:

Expenses:

Cost of artist:

Cost of supplies:

Other (describe):Cost:

Total cost:

Funding:

Request from Foundation:
(May request up to $1000)

School match:
(Not required; enter "0" if none)

Other revenue (if applicable):

Assessment:

The Olympia School District Education Foundation requires all successful grantees to submit a short post-grant report on their project; a form is available on line, or down load a form.

Are you able to submit this report within 3 months of the completion of your grant cycle?

YesNo

I have apprised my school principal of this funding request:

YesNo

Principal Information:

First Name:

Last Name:

Email: