Northlands Member Grant Application

Member Grant Application

Name of Event or Project

Date(s) of Event or Project

Requested Grant Amount ($750 limit)

Has Northlands funded the project before?

Name of Organization

Briefy describe the purpose of your organization or project

URL of website (if applicable)

Mission Statement of Organization (if applicable)

State event or project goals and how the grant will help achieve them

Include target audience, specific activities and plan of action

Estimated Total Inkind Donations

Estimated Total Cash Income

Grant Funds Requested for Artist Fees

Grant Funds Requested for Space Rental

Grant Funds Requested for Equipment Rental

Grant Funds Requested for Postage & Printing

Grant Funds Requested for Supplies

Grant Funds Requested for Miscellaneous Use

Describe Miscellaneous Use

Phone

Address

Once the form goes blank, it has been submitted to Northlands.

Statement
of
Assurance

By submitting this form to Northlands, you agree that Northlands Storytelling Network will be credited with funding assistance through event signage, program notes, emcee announcements, and other marketing materials. A digital logo will be provided by Northlands. You also agree to send an evaluation, including a final budget report, to Northlands within 30 days of the completion of the event or project.

Member Grant Application

Thank you!

Error

Statement of Assurance

Member Grant Application

Thank you!

Error

Statement of Assurance

Your Cookie Settings

Cookie Categories

Essential

Analytics