3135-0112 Art Works Grant Application Form

08/30/16

Art Works GAF, FY 2018

View Application Data

The data below is from the application you submitted through Grants.gov. It is for review only; this information
cannot be edited here. If changes are needed, contact the NEA.

Category

Applicant Organization Name

Organization Address

Organization Address 2
Applicant Organization City
Applicant Organization State
Organization Zipcode
Organization Website

OMB Number: 3135-0112
Expiration Date: TBD

1

08/30/16

1000 characters remain

Project Start Date
Project End Date
Project Director Prefix Name
Project Director First Name
Project Director Middle Name
Project Director Last Name
Project Director Title

OMB Number: 3135-0112
Expiration Date: TBD

Art Works GAF, FY 2018

2

08/30/16

Art Works GAF, FY 2018

My Forms > Art Works II FY17> FY17 AW2
•

[ Table of Contents ]
o View Application Data
o
o
o
o
o
o

Part 1a: Organizational Information

Part 1b: Programmatic Activities
Part 2: Project Information
Part 3: Project Budget
Part 4: Items to Upload
Part 5: Organization and Project Profile

Part 1a: Organizational Information

•

Please refer to the NEA's website for instructions on how to fill out the Grant Application Form, as well as what
items to upload, in "Step 2: Submit Materials to NEA-GO" for your discipline. See here for more information:
o Artist Communities: https://www.arts.gov/sites/default/files/fy17-art-works-step2-

o
o
o
o
o
o
o
o
o
o
o

instructions-artist-communities.pdf
Arts Education: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsarts-education.pdf
Dance: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsdance.pdf
Design: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsdesign.pdf
Folk & Traditional Arts: https://www.arts.gov/sites/default/files/fy17-art-works-step2instructions-folk.pdf
Literature: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsliterature-rev.pdf
Local Arts Agencies: https://www.arts.gov/sites/default/files/fy17-art-works-step2instructions-locals.pdf
Media Arts: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsmedia.pdf
Museums: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsmuseums.pdf
Music: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsmusic.pdf
Musical Theater:
Opera: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructions-

opera.pdf
o
o
o

Presenting & Multidisciplinary Works: https://www.arts.gov/sites/default/files/fy17-art-works-

step2-instructions-presenting-multi.pdf
Theater: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionstheater-musical-theater.pdf
Visual Arts: https://www.arts.gov/sites/default/files/fy17-art-works-step2-instructionsvisual-arts.pdf

OMB Number: 3135-0112
Expiration Date: TBD

3

08/30/16

Art Works GAF, FY 2018

4

OMB Number: 3135-0112
Expiration Date: TBD

•

NOTE: All red asterisked (*) items on this form are required and must be completed before you will be able to
submit the form.

•

Legal Name (per your IRS Determination Letter): *

•

Popular Name (if different):

•
•

For this application, are you serving as the Parent of an Independent Component: *
Mission of your organization:

Select

Briefly summarize the mission of your organization. For non-arts organizations (e.g., universities, human service
agencies), summarize your mission as it pertains to your cultural programs or services. *

◢

500 characters remain

•

Briefly summarize the background/history of your organization. *

◢

2000 characters remain

•

Organization Budget: Complete this section using figures from completed fiscal years. If you are a parent
organization, this information should refer to the component on whose behalf you are applying.

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

Art Works GAF, FY 2018

5

Most Recently Complete

Previous FY

Two FYs Prior

$0

$0

$0

FY End Date (MM/DD/YYY

Income

Earned

Contributed

TOTAL INCOME

Expenses

Artistic Salaries

Production / Exhibition

Administrative Expenses

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

Art Works GAF, FY 2018

6

TOTAL EXPENSES

$0

$0

$0

Operating Surplus / Def

$0

$0

$0

•

ADD ROW FOR CUMULATIVE SURPLUS/DEFICIT

•

In the space below, discuss the fiscal health of your organization. In addition, you must explain: 1) any changes of
15% or more in either your income or expenses from one year to the next, and 2) plans for reducing any deficit
(include the factors that contributed to the deficit and its amount). *

◢

1000 characters remain

Part 1b: Programmatic Activities

Programmatic Activities
Submit representative examples of your programmatic activities for the past three years/seasons (up to 5 examples per
year/season). While the headings may not fit in every case, use these spaces to demonstrate what your organization has done
for the last three years. Note: You can't change the years/seasons. If you need to provide information for different
years/seasons, please note the years you are using in the "Programmatic Activity notes" section below.
These examples should demonstrate eligibility (i.e., your organization's three-year history of programming) and the artistic
excellence and merit of your organization. For projects that involve touring, list your organization’s touring activities for the
past three years/seasons. If you do not have touring information, leave the section blank (i.e., do not type "N/A").

•

Year 1

•

Representative examples: REQUIRED FIELD

OMB Number: 3135-0112
Expiration Date: TBD

REQUIRED FIELD

08/30/16

Art Works GAF, FY 2018

(3,500 Character Limit, including spaces)

•

Year 2

•

Representative examples: REQUIRED FIELD

REQUIRED FIELD

(3,500 Character Limit, including spaces)

•

Year 3

•

Representative examples: REQUIRED FIELD

OMB Number: 3135-0112
Expiration Date: TBD

REQUIRED FIELD

7

08/30/16

Art Works GAF, FY 2018

(3,500 Character Limit, including spaces)

Programmatic Activity notes:
Provide any notes about your programmatic activity.

1000 characters remain

Part 2: Project Information

OMB Number: 3135-0112
Expiration Date: TBD

8

08/30/16

Art Works GAF, FY 2018

NEA Discipline for Proposed Project: This refers to the artistic discipline associated with your project, not necessarily your
organization as a whole. Choose the artistic discipline carefully because your selection will determine which panel of experts
will review your proposal. In limited cases, staff may transfer an application to a discipline other than the one that was
selected by the applicant to ensure appropriate panel review. However, we cannot guarantee that an application will be
transferred in all cases where this might be desirable. Contact us if you have any questions about which discipline is most
appropriate.
Project Title: If your project title has changed since you submitted your SF-424 through Grants.gov, provide a new project
title in the text field below. Text cannot be formatted (e.g., bold, italics). If

you have no changes, leave the text
as is. Do not type "N/A" as this will replace the previously submitted project title.

Project Description: If your project description has changed since you submitted your SF-424 through Grants.gov, provide a
new description in the text field below. Text cannot be formatted (e.g., bold, italics). If

you have no changes, leave
the text as is. Do not type "N/A" as this will replace the previously submitted project
description.

1000 characters remain

This serves as the project narrative. Describe the proposed project. Be as thorough
and specific as possible about the activities that will take place during the allowable project period. Where relevant,
include information on any additional public components such as educational or outreach
activities associated with the project. Do not describe unrelated organizational programming. If applicable,

Major Project Activities:

identify any works of art that will be central to the project and the reason for their selection. *

◢

4000 characters remain

OMB Number: 3135-0112
Expiration Date: TBD

9

08/30/16

Art Works GAF, FY 2018

10

Selection of Key Organizational Partners: If your project involves organizational partners, describe the process and criteria
for the selection of key organizations. Where relevant, describe their involvement in the development of the project to date.
Where they remain to be selected, describe the selection procedures that you plan to follow and the qualifications that you
seek. An organizational partner is an outside entity that will provide resources (other than money) to support the project.
Because all NEA projects require matching resources from non-federal sources, organizations that only provide money are
not considered partners. Funders are not excluded from being partners, but they must also supply human resources or
information capital, or actively participate in another way.

◢

1000 characters remain

Description of Key Organizational Partners: Include brief, current descriptions of the key organizational partners

their proposed role in the project. You may include up to 10.
Organization Name
Select

Proposed or committed?
Description of the Organization

Cut Copy
500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

OMB Number: 3135-0112
Expiration Date: TBD

◢

and

08/30/16

Art Works GAF, FY 2018

◢

500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Organization Name

OMB Number: 3135-0112
Expiration Date: TBD

11

08/30/16

Art Works GAF, FY 2018

Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Add more Organizations?

Select

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

OMB Number: 3135-0112
Expiration Date: TBD

12

08/30/16

Art Works GAF, FY 2018

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

◢

500 characters remain

Organization Name
Select

Proposed or committed?
Description of the Organization

OMB Number: 3135-0112
Expiration Date: TBD

13

08/30/16

Art Works GAF, FY 2018

14

◢

500 characters remain

Selection of Key Individuals: Briefly describe the process and criteria for the selection of key individuals who will be
involved in this project (e.g. primary artist(s), project director, artistic director, executive director, teaching artist, curator,
editor, folklorist, conductor). Where relevant, name the key individuals and describe their involvement in the
development of the project to date. Where they remain to be selected, describe the procedures that you plan to follow and the
qualifications that you seek. *

◢

1000 characters remain

Bios of Key Individuals: Include brief, current biographies of the key individuals. You may include up to 5.
First Name
Last Name (use this field for artistic group names or single names)
Proposed or committed?
Bio including

Select

the proposed role in the project

◢

1000 characters remain

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

Art Works GAF, FY 2018

First Name
Last Name (use this field for artistic group names or single names)
Proposed or committed?
Bio including

Select

the proposed role in the project

◢

1000 characters remain

Add more Individuals?

Select

◢

1000 characters remain

◢

1000 characters remain

OMB Number: 3135-0112
Expiration Date: TBD

15

08/30/16

Art Works GAF, FY 2018

16

◢

1000 characters remain

Schedule of key project dates: Describe the significant dates in the project. If you include activities that occur before the
earliest allowable start date (January 1, 2017, if you apply at the February 18, 2016, deadline or June 1, 2017, if you apply at
the July 14, 2016, deadline), indicate by adding an asterisk (*) and make sure that those activities and costs are not included
on the Project Budget form. *

◢

1500 characters remain

Promotion & Publicity: Briefly describe your plans for promoting and/or publicizing the project. *

◢

1000 characters remain

Performance Measurement: How will you measure the success of your project? Describe any plans you have for program
evaluation, for working collaboratively with researchers, strategic consultants, program evaluators, and/or any other plans for
performance measurement related to the project.
Please see "Program Evaluation Resources" (http://arts.gov/grants-organizations/art-works/program-evaluationresources) for additional information. *

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

Art Works GAF, FY 2018

◢

1000 characters remain

Intended Audience/Participants/Community
Who will benefit from the project and how? *

◢

2000 characters remain

Discipline-Specific Items
Include below any items specified for your discipline that are relevant to your particular project as outlined in your
discipline's instructions (see Part 1a: Organizational Information for links to those instructions). Note: Some disciplines
require that special items be uploaded in Part 4: Items to Upload.
If necessary, combine items in a single field below and label the items clearly.
Do not submit work samples and statements of support (if required) here; submit those in Part 4: Items to Upload.
Discipline-Specific Items 1:

◢

6000 characters remain

Discipline-Specific Items 2:
OMB Number: 3135-0112
Expiration Date: TBD

17

08/30/16

Art Works GAF, FY 2018

18

◢

6000 characters remain

Discipline-Specific Items 3:

◢

6000 characters remain

Part 3: Project Budget
SALARIES/WAGES TO 7 LINES
TRAVEL TO 5 LINES
OTHER TO 14 LINES

•
•
•

Budget descriptor fields with more than 100 characters will be truncated when reviewed by panelists.
Expenses

1. Direct Costs: Salar

TITLE AND/OR TYPE O

NUMBER OF PERSON

OMB Number: 3135-0112
Expiration Date: TBD

ANNUAL OR AVERAG

% OF TIME DEVOTED

AMOUNT

08/30/16

Art Works GAF, FY 2018

19

$ 0.00

Total Salaries and wa

Fringe Benefits

Total fringe benefits

Total salaries and fri

$ 0.00

2. Direct Costs: Trave

# OF TRAVELERS

FROM

OMB Number: 3135-0112
Expiration Date: TBD

TO

AMOUNT

08/30/16

Art Works GAF, FY 2018

Total Travel

3. Direct Costs: Othe

20

$ 0.00

AMOUNT

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

OMB Number: 3135-0112
Expiration Date: TBD

Art Works GAF, FY 2018

21

08/30/16

Art Works GAF, FY 2018

Total other expenses

$ 0.00

4. Total Direct Costs

$ 0.00

5. Indirect Costs (if a

Federal Agency:

Rate (.0000):

Base:

Total Indirect Costs

$ 0.00

6. Total Project Costs

$ 0.00

•

Income

1. Amount Requested fr

2. Total Cost Share/Matc

Cash

OMB Number: 3135-0112
Expiration Date: TBD

Cash Amount

22

08/30/16

Art Works GAF, FY 2018

Total cash (a):

0

In-kind

In-kind Amount

Total In-Kind (b):

0

Total cost/share match f

0

3. Total project income (

0

•
•

The amounts below will populate from what you have entered after clicking Save at the bottom.
Total Project Income MUST equal Total Project Costs.

OMB Number: 3135-0112
Expiration Date: TBD

23

08/30/16

Art Works GAF, FY 2018

24

If they do not equal, you must adjust your figures in your budget above and Save. If you included an Indirect
Cost Rate, the figures may not exactly match. In this case, click Save and continue.

•

Amount Requested from the NEA (1)

•

Total Cost Share/Match (2a 2b)

•

TOTAL PROJECT INCOME (3)

•

TOTAL PROJECT COSTS (4 5)

Part 4: Items to Upload

Upload your work samples, and if applicable, statements of support, here. If your discipline requires them, also upload
special items if they are not required to be entered in Part 2: Project Information.

Panelists will not review more than 20 minutes of work samples.

Upload files here. DO NOT click the Manage Folders button. Simply click Upload and reorder or edit your files if necessary:

Folder is Empty.
Folder Name: FY17 AW2-Art Works II FY17
Folder Size: 0.00 MB
User Storage: 120.723MB out of 250MB Used, 129MB Available
Upload requirements Min # Max # Max File Size Uploaded
Images

0

20

20 MB

Videos

0

5

250 MB

Documents

0

20

40 MB

Audios

0

5

20 MB

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

Art Works GAF, FY 2018

Part 5: Organization and Project Profile

The National Endowment for the Arts collects basic descriptive information about all applicants and their projects. The
information that follows will help the NEA to comply with government reporting requirements, and will be used to develop
statistical information about the organizations and projects it funds to report to Congress and the public. Your responses will
not be a factor in the review of your application.
Applicant Organization Discipline: Select the primary discipline that is most relevant to your organization and, optionally,
up to two additional disciplines. This refers to the primary artistic emphasis of your organization. This selection will not be
used in the review of your application. See Part 2: Project Information: NEA Discipline to choose the discipline that you
would like to review your project. DISCUSS WITH ORA CHANGING THEATER & MUSICAL THEATER TO
MUSICAL THEATER AND THEATER; CODING IMPLICATIONS; IF CODING IMPLICATIONS NOTIFY ITM FOR
DATA MANAGEMENT
Applicant Organization Discipline: Optionally, choose up to two additional disciplines.
(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
Select
Artist Community
Arts Education Organization
Dance

DISCUSS WITH ORA CHANGING THEATER & MUSICAL THEATER TO MUSICAL THEATER AND THEATER;
CODING IMPLICATIONS; IF CODING IMPLICATIONS NOTIFY ITM FOR DATA MANAGEMENT
Applicant Organization Description: Select the primary description that is most relevant to your organization and,
Select

optionally, up to two additional descriptions. *
Applicant Organization Description: Optionally, choose up to two additional descriptions.
(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
Select
Artists' Community, Arts Institute, or Camp
Arts Center
Arts Council / Agency

Project Activity Type: *
Additional Project Activity Type Optionally, choose up to two additional activity types.
Select

(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
Select
Apprenticeship
Arts Instruction - Includes lessons, classes and other means to teach knowledge of and/or skills in the arts
Artwork Creation - Includes media arts, design projects, and commissions

Audience/Participants/Communities
If known, select all descriptors that best describe the intended audience/participants/communities that the project aims to
reach.
Race/Ethnicity (choose all that apply)
(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
o Race/Ethnicity - U.S. federal government agencies must adhere to standards issued by the Office of
Management and Budget (OMB) in October 1997, which specify that race and Hispanic origin (also known as
ethnicity) are two separate and distinct concepts. These standards generally reflect a social definition of race and
ethnicity recognized in this country, and they do not conform to any biological, anthropological, or genetic criteria.
OMB Number: 3135-0112
Expiration Date: TBD

25

08/30/16

Art Works GAF, FY 2018

26

Origin can be viewed as the heritage, nationality group, lineage, or country of birth of the person or the person’s
ancestors before their arrival in the United States.
 American Indian or Alaskan Native - A person having origins in any of the original peoples of North and South
America (including Central America) and who maintains tribal affiliation or community attachment.
 Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian
subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine
Islands, Thailand, and Vietnam.
 Black or African American - A person having origins in any of the Black racial groups of Africa.
 Hispanic or Latino - People who identify their origin as Hispanic, Latino, or Spanish may be of any race.
 Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
 White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Select
American Indian or Alaskan Native
Asian
Black or African American

Age Ranges (choose all that apply)
(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
Select
Children/Youth (0-18 years)
Young Adults (19-24 years)
Adults (25-64 years)

Underserved/Distinct Groups (choose all that apply)
(To select more than one option on Windows, hold down the CTRL key and select multiple options.
To select more than one option on Mac, hold down the Command key and select multiple options.)
Select
Individuals with Disabilities
Individuals in Institutions (include people living in hospitals, hospices, nursing homes, assisted care facilities, correcti
Individuals below the Poverty Line

Be sure to click Save before clicking Submit.
You must click Submit to finalize your application for NEA review.
Don't forget to hit the "Submit" button when you are ready to submit your application. If you do not hit the "Submit" button,
your application will not be received.

After submitting your application, you may log back into NEA-GO and make modifications to your
submission up until the system closes on the day of the deadline. Remember to hit the "Save" and
"Submit" button again prior the deadline.
You will receive confirmation of your successful submission in two ways: 1) a pop up on your screen, and 2) an email from
[email protected]. Maintain documentation of your successful submission (take a screenshot and/or keep the email).
If you modify your application after you submit, you will not receive additional confirmations.

You also can confirm that your application was received when you log in to NEA-GO. On the first screen it will say
“Received” if your application has been received. If your application has not yet been received, it will say “In Progress.”

OMB Number: 3135-0112
Expiration Date: TBD

08/30/16

OMB Number: 3135-0112
Expiration Date: TBD

Art Works GAF, FY 2018

27