3135-0112 NEA Organization and Project Profile Form

OMB Number: 3135-0112
Expiration Date: 11/30/2013

National Endowment for the Arts
Organization & Project Profile Form
PART 1: APPLICANT
Legal Name:
Popular name (if different):
Total organizational operating expenses for the most recently completed fiscal year: $
For year ending (Month/Year, e.g., 00/0000):
For this application, the applicant is serving as a: NA: Not Applicable
For:

APPLICANT ORGANIZATION STATUS:
Select the one item which best describes the legal status of the organization.
02: Nonprofit organization

05: State government

07: County government

08: Municipal government

09: Tribal government

99: None of the above

APPLICANT ORGANIZATION DESCRIPTION:
The following codes work in conjunction with the Organization Discipline codes below (e.g., select "Performing Group" here and
"Theater" below to indicate that your organization is a theater company). Select the one item which best describes the organization:
49: Artists' Community, Arts
Institute, or Camp

28: Historical Society/
Commission

15: Arts Center

29: Humanities Council or
Agency

16: Arts Council or Agency
17: Arts Service Organization
26: College or University

12: Independent Press
27: Library
13: Literary Magazine

32: Community Service
Organization

11: Media-Film

14: Fair or Festival

98: Media-Internet

30: Foundation

45: Media-Radio
46: Media-Television

10: Gallery/Exhibition Space
38: Government

08: Museum-Art

07: Performance Facility
03: Performing Group
47: Presenter/Cultural Series
Organization
35: Religious Organization
19: School District
48: School of the Arts
50: Social Service
Organization
18: Union or Professional
Association
99: None of the above /
Please specify:

09: Museum-Other

APPLICANT ORGANIZATION DISCIPLINE:
Select the one discipline that is most relevant to your organization.
72: Artist Communities

52: Literature

36: Opera

51: Arts Education

62: Local Arts Agencies

33: Dance

34: Media Arts

54: Presenting &
Multidisciplinary Works

42: Design

44: Museums

55: Folk & Traditional Arts

31: Music

32: Theater & Musical Theater
41: Visual Arts
99: None of the above /
Please specify:
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Legal Name:

PART 2: PROJECT
PROJECT FIELD / DISCIPLINE:

CATEGORY:

INTENDED OUTCOME:
Primary Outcome:

Secondary Outcome:

PROJECT BUDGET SUMMARY:
Amount Requested:

$

+ Total Match for this Project:

$

0.00

= Total Project Costs:

$

0.00

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Legal Name:

PROJECT ACTIVITY TYPE:
Primary Activity Type:

25 Apprenticeship
12 Arts Instruction
Includes lessons, classes
and other means to teach
knowledge of and/or skills
in the arts
04 Artwork Creation
Includes media arts, design
projects, and commissions
02 Audience Services
(e.g., ticket subsidies)
36 Broadcasting
via TV, cable, radio, the
Web, or other digital
networks
33 Building Public Awareness
Activities designed to
increase public
understanding of the arts or
to build public support for the
arts
95 Building International
Understanding
Includes activities that either
bring international art and/or
artists to the U.S. or bring
American art and/or artists to
other nations
05 Concert/Performance/
Reading
Includes production
development
31 Curriculum Development/
Implementation
Includes the design and
distribution of instructional
materials, methods,
evaluation criteria, etc.

Secondary Activity Type:

24 Distribution of Art
(e.g., films, books, prints;
do not include
broadcasting)
06 Exhibition
Includes visual arts, media
arts, design, and exhibition
development
08 Fair/Festival
09 Identification/
Documentation
(e.g., for archival or
educational purposes)

18 Repair/Restoration/
Conservation
19 Research/Planning
Includes program evaluation,
strategic planning, and
establishing partnerships
20 Residency - School
Artist activities in an
educational setting
21 Residency - Other
Artist activities in a nonschool setting
22 Seminar/Conference

13 Marketing
30 Student Assessment
96 Presenting/Touring
29 Professional Development/
Training
Activities enhancing career
advancement
14 Professional Support:
Administrative
Includes consultant fees
15 Professional Support:
Artistic
(e.g., artists' fees, payments
for artistic services)
17 Publication
(e.g., books, manuals)

34 Technical Assistance
with technical/administrative
functions
35 Web Site/Internet
Development
Includes the creation or
expansion of Web sites, the
development of digital art
collections, interactive
services delivered via the
Internet, etc.
28 Writing About Art/Criticism
99 None of the above/Please
specify

16 Recording/Filming/Taping
(e.g., to extend the audience
for a performance through
film/tape; do not include
archival projects)

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Legal Name:

INDIVIDUALS BENEFITING:
Provide data for individuals expected to directly benefit from the project. Leave blank any items that are not applicable or for which
supportable estimates do not exist.
Individuals to be Compensated from the Project Budget
In completing this section, refer to your project budget (which should include both Federal and nonFederal matching funds). Count only those individuals who will be compensated from the project
budget, whether in whole or in part, and whether engaged as an employee or contractor. Do not
double-count. Audience/ Attendees/ Participants/ Learners should be accounted for in the next table.

Number

Artists
Teachers
Others
TOTAL

Audiences/Attendees/Participants/Learners
Enter the number of people you anticipate reaching through each method as applicable. Do not
double-count.
Through "Live" Arts Experience
Through
Through Distribution
(Count of individuals who visit a
Broadcast
of Physical Materials
venue - to engage with the arts,
(TV, radio, cable)
(e.g., CDs, DVDs,
whether through attendance at arts
books)
events or participation in arts
learning or other types of activities
that involve people directly with
artists or the arts. Do not count
individuals primarily reached through
TV, radio or cable broadcast, the
Internet, or other media.)

If you intend to use social and/or
other new media to reach people,
please check the appropriate
column.
Through Social
Through Other
Media
New Media
(e.g., Facebook, (e.g., websites,
Twitter, wikis) webcasts, eBooks
and other
downloads,
streaming, mobile
phone apps)

Adults
Children/Youth
(younger than 18)
TOTALS

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Legal Name:

POPULATION DESCRIPTORS
From each section, select the one descriptor that best describes the primary population expected to benefit from the project during the
period of support. These responses should refer to populations reached directly, rather than through broadcasts or Internet
programming.
Race / Ethnicity:
N: American Indian / Alaska
Native
A: Asian
B: Black / African American
H: Hispanic / Latino
O: Native Hawaiian / Other
Pacific Islander

Age (Range):
2: Pre-Kindergarten (0-5 years)
3: K-12 (6-18 years)
4: Young Adults (19-24 years)
5: Adults (25-64 years)
6: Older Adults (65+ years)
1: No Single Group

W: White
G: No Single Group

Geographic Area:

Community Type:

2: International

2: Urban

3: Multiple States (whether
contiguous or not)

3: Rural

4: Statewide (multiple counties
within a state)

4: Suburban
1: No Single Group

5: City / County

From the section below, select all of the descriptors that best describe the primary population expected to benefit from the project during
the period of support. These responses should refer to populations reached directly, rather than through broadcasts or Internet
programming.
Underserved / Distinct Groups:
Individuals with Disabilities
Individuals in Institutions (include people living in hospitals, hospices, nursing homes, assisted care
facilities, correctional facilities, and homeless shelters)
Individuals with Low Income
Individuals with Limited English Proficiency
Military Veterans/Active Personnel
None of the Above

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Agency Guidelines for more information about each needed file. Please remember that any files you attach must be in the document format
and named as specified in the Guidelines.
Important: Please attach your files in the proper sequence. See the appropriate Agency Guidelines for details.

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