Appendix E Application Package.pdf

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Submission sphelps D:20061219143208- 05'00' D:20061219143305- 05'00'

* Application Filing Name:

Grant Application Package Grants.gov Grant Application Package CFDA Number:

Opportunity Title:

Offering Agency:

Agency Contact:

Opportunity Open Date:

Opportunity Close Date:

Mandatory Documents Move Form to Complete Move Form to Delete Mandatory Documents for Submission Optional Documents Move Form to Submission List Move Form to Delete Optional Documents for Submission Instructions CFDA Description:

Opportunity Number:

Competition ID:

This electronic grants application is intended to be used to apply for the specific Federal funding opportunity referenced here.

If the Federal funding opportunity listed is not the opportunity for which you want to apply, close this application package by clicking on the "Cancel" button at the top of this screen. You will then need to locate the correct Federal funding opportunity, download its application and then apply.

Grants.gov Name- Version Form Tag Name Name- Version Form Tag Name Name- Version Form Tag Name Name- Version Form Tag Name Enter a name for the application in the Application Filing Name field.

- This application can be completed in its entirety offline; however, you will need to login to the Grants.gov website during the submission process.

- You can save your application at any time by clicking the "Save" button at the top of your screen.

- The "Save & Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and confirmed all data required data fields are completed.

1. Enter a name for the application in the Application Filing Name field. - This application can be completed in its entirety offline; however, you will need to login to the Grants.gov website during the submission process. - You can save your application at any time by clicking the "Save" button at the top of your screen. - The "Save & Submit" button will not be functional until all required data fields in the application are completed and you clicked on the "Check Package for Errors" button and confirmed all data required data fields are completed.

Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first.

- It is recommended that the SF-424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields.

- The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF-424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional Documents".

- To open and complete a form, simply click on the form's name to select the item and then click on the => button. This will move the document to the appropriate "Documents for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and click on the "Open Form" button to begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, click the document name to select it, and then click the <= button. This will return the form/document to the "Mandatory Documents" or "Optional Documents" box.

- All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message.

2. Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first. - It is recommended that the SF-424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields. - The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF-424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional Documents". - To open and complete a form, simply click on the form's name to select the item and then click on the => button. This will move the document to the appropriate "Documents for Submission" box and the form will be automatically added to your application package. To view the form, scroll down the screen or select the form name and click on the "Open Form" button to begin completing the required data fields. To remove a form/document from the "Documents for Submission" box, click the document name to select it, and then click the <= button. This will return the form/document to the "Mandatory Documents" or "Optional Documents" box. - All documents listed in the "Mandatory Documents" box must be moved to the "Mandatory Documents for Submission" box. When you open a required form, the fields which must be completed are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message.

Click the "Save & Submit" button to submit your application to Grants.gov.

- Once you have properly completed all required documents and attached any required or optional documentation, save the completed application by clicking on the "Save" button.

- Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors or if none are found, save the application package.

- The "Save & Submit" button will become active; click on the "Save & Submit" button to begin the application submission process.

- You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission.

3. Click the "Save & Submit" button to submit your application to Grants.gov. - Once you have properly completed all required documents and attached any required or optional documentation, save the completed application by clicking on the "Save" button. - Click on the "Check Package for Errors" button to ensure that you have completed all required data fields. Correct any errors or if none are found, save the application package. - The "Save & Submit" button will become active; click on the "Save & Submit" button to begin the application submission process. - You will be taken to the applicant login page to enter your Grants.gov username and password. Follow all onscreen instructions for submission.

ERROR!

This application package has been opened and saved with a version of Adobe Acrobat or Adobe Reader that is not compatible with Grants.gov.

THIS PACKAGE IS NO LONGER VALID AND CANNOT BE SUBMITTED.

To download the Grants.gov required version visit:

http://www.grants.gov/help/download_software.jsp#adobe811 For more information: http://grants.gov/help/general_faqs.jsp#adobe Also the Contact Center is available for further assistance. The Contact Center hours of operation are Monday-Friday, 7 a.m. to 9 p.m., Eastern Time; closed on Federal Holidays.

Email: support@grants.gov Phone: 1-800-518-4726

ERROR!

You have attempted to open this document with a version of Adobe Acrobat or Adobe Reader that is not compatible with Grants.gov.

YOU CANNOT PROCEED WITH THIS DOCUMENT!

You are using the incorrect version:

Install the required version and try again.

To download the Grants.gov required version visit:

http://www.grants.gov/help/download_software.jsp#adobe811 For more information: http://grants.gov/help/general_faqs.jsp#adobe Also the Contact Center is available for further assistance. The Contact Center hours of operation are Monday-Friday, 7 a.m. to 9 p.m., Eastern Time; closed on Federal Holidays.

Email: support@grants.gov Phone: 1-800-518-4726 Version 01

* 1. NAME OF FEDERAL AGENCY:

2. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:

CFDA TITLE:

* 3. DATE RECEIVED:

* 4. FUNDING OPPORTUNITY NUMBER:

* TITLE:

5. APPLICANT INFORMATION

b. Address:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* Zip/Postal Code:

c. Web Address:

http://

* d. Type of Applicant: Select Applicant Type Code(s):

Type of Applicant:

* Other (specify):

* e. Employer/Taxpayer Identification Number (EIN/TIN):

* f. Organizational DUNS:

* g. Congressional District of Applicant:

* a. Project Title:

* b. Project Description:

* Start Date:

* End Date:

Type of Applicant:

6. PROJECT INFORMATION

SYSTEM USE ONLY

APPLICATION FOR FEDERAL DOMESTIC ASSISTANCE - Short Organizational

c. Proposed Project:

OMB Number: 4040-0003 Expiration Date: 07/31/2008

* a. Legal Name:

Same as Project Director (skip to item 9):

8. PRIMARY CONTACT/GRANTS ADMINISTRATOR

Social Security Number (SSN) - Optional:

Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

* Title:

* Email:

* Telephone Number:

Fax Number:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* Zip/Postal Code:

Social Security Number (SSN) - Optional:

Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.

Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

* Title:

* Email:

* Telephone Number:

Fax Number:

* Street1:

Street2:

* City:

County:

* State:

Province:

* Country:

* Zip/Postal Code:

7. PROJECT DIRECTOR

OMB Number: 4040-0003 Expiration Date: 07/31/2008 Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.

APPLICATION FOR FEDERAL DOMESTIC ASSISTANCE - Short Organizational Version 01 000-00-

d. Social Security Number (S S N) - Optional:

000-00-

d. Social Security Number (S S N) - Optional:

9. * By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties (U.S. Code, Title 218, Section 1001) ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.

AUTHORIZED REPRESENTATIVE

Prefix:

* First Name:

Middle Name:

* Last Name:

Suffix:

* Title:

* Email:

* Telephone Number:

Fax Number:

* Signature of Authorized Representative:

* Date Signed:

Authorized for Local Reproduction Version 01 Standard Form 424 Organization Short (04-2005) Prescribed by OMB Circular A-102 OMB Number: 4040-0003 Expiration Date: 07/31/2008 APPLICATION FOR FEDERAL DOMESTIC ASSISTANCE - Short Organizational ** I Agree National Endowment for the Arts Supplemental Information OMB Number: 3135-0112 Expiration Date: 11/30/2010

* Legal Name:

Popular name (if different):

* For this application, the applicant is serving as a:

* For:

* Total organizational operating expenses for the most recently completed fiscal year:

* For year ending (Month/Year, e.g., 00/0000):

* Project Field/Discipline:

* Category:

* Intended Outcome (select one):

* Amount Requested:

* Total Match for this Project:

* Total Project Costs:

1. Applicant

3. Project Budget Summary

2. Application Information Organization & Project Profile OMB Number: 3135-0112 Expiration Date: 11/30/2010

* Applicant (official IRS name):

The National Endowment for the Arts collects basic descriptive information about all applicants and their projects. The information below will help the Arts Endowment to comply with the Government Performance and Results Act (GPRA) and will be used to develop statistical profiles of the projects that it funds to report to Congress and the public. While your responses will not be a factor in the review of your application, this form is a required part of all application packages.

PART 1

This section collects information about the applicant. If you are a parent organization or the lead member of a consortium, your responses should relate to your organization, not the group or component on whose behalf you are applying.

Organizational Description is required.

Organizational Description: One selection is required.

Organizational Discipline: One selection is required.

Organizational Discipline is required.

Organizational Status is required.

Organizational Status: One selection is required.

* A. ORGANIZATIONAL STATUS: Select the one item which best describes the legal status of the organization:

* B. ORGANIZATIONAL DESCRIPTION: The following codes work in conjunction with the Organizational Discipline codes in C. 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:

* C. ORGANIZATIONAL DISCIPLINE: Select the one item which best describes the organization's area of work in the arts (not the project for which it is applying):

Organization & Project Profile Older Adults Individuals with Disabilities

PART II

This section collects information about the project.

(continued) D. ORGANIZATIONAL RACE/ETHNICITY (OPTIONAL): Select the one item which best describes the predominant racial/ethnic identity of the organization. If at least half of the board, staff, or membership belongs to one of the listed racial/ethnic groups, use that designation. If no one group predominates, select "General":

E. ACCESSIBILITY (OPTIONAL): Check below as applicable to indicate if the organization's board or staff includes an older adult (65 years of age or older) or a person with a disability (a physical or mental impairment that substantially limits one or more major life activities); otherwise leave blank.

B. PROJECT RACE/ETHNICITY (OPTIONAL): Select the one item which best describes the predominant racial/ethnic identity of the project.

If the majority of activities are intended to involve or act as a clear expression or representation of the cultural traditions of one particular group, or deliver services to a designated population listed below, choose that group. If the activity is not designated to represent or reach any one particular group, select "General":

* Applicant (official IRS name):

Project Discipline: One selection is required.

Project Discipline is required.

* A. PROJECT DISCIPLINE: Select the one item which best describes the project discipline or subject matter:

Organization & Project Profile D. PROJECT DESCRIPTORS: Select up to four items that represent a significant aspect of the project:

(continued)

* Applicant (official IRS name):

50% or more with activities primarily directed to:

Arts Education: One selection is required.

Arts Education is required.

Activity Type: One selection is required.

Activity Type is required.

* C. ACTIVITY TYPE: Select the one item which best describes the main activity of the project:

* E. ARTS EDUCATION: Select the one response that best characterizes the extent to which this project involves arts education (i.e., systematic educational efforts with measurable outcomes designed to increase knowledge of and/or skills in the arts):

Organization & Project Profile # of artwork(s) to be created # of concerts/performances/readings # of lectures/demonstrations/ workshops/symposiums # of exhibitions to be curated/presented # of books and/or catalogues to be published # of artworks to be conserved/restored to save or prevent from decay or destruction # of artworks to be identified/documented # of artists' residencies Number of artists' residencies:

Enter the estimated number of artists' residencies. (Artists' activities in schools or other community settings over an extended period of time.)

# of schools (pre-K through grade 12) that will actively participate Number of Schools to Participate:

Enter the estimated number of schools (pre-K through grade 12) that will actively participate.

(Those schools that will be involved actively in your project, not those to which material is simply distributed.)

# of organizational partners Number of Organizational Partners:

Enter the estimated number of organizational partners.

(Organizations that combine resources and work together to make the project happen.

Do NOT include funders unless they will actively participate.)

# of apprenticeships/internships Number of Apprenticeships:

Enter the estimated number of apprenticeships/internships.

# of hours to be broadcast on radio, television, or cable Number of Broadcast Hrs:

Enter the estimated number of hours to be broadcast on radio, television, or cable.

(For series, include hours for all broadcasts. Include broadcasts that occur after the end date of the project only if they will be a direct result of the funding of this application. Do NOT include public service announcements, advertising or other promotional activities, or Web-casts.)

# of artists # of teachers # of children/youth Total # of individuals benefiting Number of Individuals Benefiting:

Enter the total number of individuals benefiting. (Include all those from the left column plus others to be involved in the project during the "Period of Support" that you have indicated for your project. Do NOT include broadcast audiences.)

For radio, television, and cable broadcasts, total audience

G. PARTICIPANTS/AUDIENCES BENEFITING:

* Applicant (official IRS name):

For items F. and G. below, your figures should encompass only those activities and individuals directly affected by or involved in your project during the "Period of Support" that you have indicated for your project (with one exception for broadcasts as noted in help tip for that item). Leave blank any items that are not applicable or for which you do not have actual figures or reasonable estimates.

F. PROJECT ACTIVITY:

(continued)

ATTACHMENTS FORM

Instructions: On this form, you will attach the various files that make up your grant application. Please consult with the appropriate 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.

Instructions: On this form, you will attach the various files that make up your grant application. Please consult with the appropriate 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.

Important: Please attach your files in the proper sequence. See the appropriate Agency Guidelines for details.

15) Please attach Attachment 15

1) Please attach Attachment 1

2) Please attach Attachment 2

3) Please attach Attachment 3

4) Please attach Attachment 4

5) Please attach Attachment 5

6) Please attach Attachment 6

7) Please attach Attachment 7

8) Please attach Attachment 8

9) Please attach Attachment 9

10) Please attach Attachment 10

11) Please attach Attachment 11

12) Please attach Attachment 12

13) Please attach Attachment 13

14) Please attach Attachment 14 Attachments Application for Federal Domestic Assistance-Short Organizational NEA Supplemental Information NEA Organization & Project Profile Attachments SF424_Short NEASuppCover NEAOrganization Attachments This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or tribal government, academia, or other type of organization.

This opportunity is only open to organizations, applicants who are submitting grant applications on behalf of a company, state, local or tribal government, academia, or other type of organization.

9.1

Service. If your organization is not in the US, enter 44-4444444.

This field is required.:

Congressional District of Applicant: Enter the Congressional District in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district, NC-103 for North Carolina's 103rd district.

If outside the US, enter 00-000. This field is required.:

This field is required if Country is the United States.:

Start Date: Enter the start date for the proposed project. Enter in the format MM/DD/YYYY.

This field is required.:

End Date: Enter the end date for the proposed project. Enter in the format MM/DD/YYYY.

This field is required. :

director and skip to item 9. If Primary Contact/Grants Administrator is same as Authorizing Official, please complete both 8 and 9.: N: No

Number. Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.:

This field is required if Country is the United States.:

This field is required if Country is the United States.:

Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.:

Social Security Number: Enter a 9-digit Social Security Number.

Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.:

Social Security Number (SSN) - Optional: Enter the last 4 digits of Social Security Number.

Disclosure of SSN is voluntary. Please see the application package instructions for the agency's authority and routine uses of the data.:

uses a popular name that is different from the legal name, note that name in the space provided.

For: List the name of the one primary consortium partner, or the nonprofit group or entity on whose behalf you are applying.:

Applicant Service Type: Choose Lead Member of a Consortium, Fiscal Agent, or Parent of a Component if applicable; otherwise choose Not Applicable.

Lead member of a consortium. Choose "Lead Member of a Consortium" and list your one primary consortium partner in the space provided.

Fiscal agent for an organization that is eligible for financial assistance. Choose "Fiscal Agent" and enter the name of the nonprofit group on whose behalf you are applying in the space provided.

Parent institution applying on behalf of an eligible separate component. Choose "Parent of a Component" and enter the name of the component in the space provided.

This field is required.: NA: Not Applicable Project Field/Discipline: Choose the one discipline that is most relevant to your project. This selection will aid the Arts Endowment's application review. This field is required.

Category: If the category (and focus area, if relevant) under which you are applying is listed, choose it. If your category is not listed, choose "Other".

This field is required.

For year ending: Enter the fiscal year end date (MM/YYYY format) for your organization's total operating expenses. This field is required.:

Total Match: Enter the dollar amount. This must agree with Item 2 of your Project Budget form. This field is required.:

Amount Requested: Enter the dollar amount.

This figure must agree with "Amount requested from the Arts Endowment" in Item 1 of your Project Budget form. This field is required.

Total Project Costs: This must agree with Item 6 of your Project Budget form:

Total Operating Expenses: Enter the total operating expenses for your organization. If you are the lead applicant for a consortium, provide this information for your own organization. If you are a fiscal agent or a parent organization, provide this information for the group or component on whose behalf you are applying.

Unaudited figures are acceptable. This field is required.:

Click to select option 99 None of the above.:

Click to select option 03A Opera.:

Organizational Discipline 08:

Click to select option 08 Photography.:

Organizational Discipline 04:

Click to select option 04 Theater.:

Organizational Discipline 05:

Click to select option 05 Visual Arts.:

Organizational Discipline 11:

Click to select option 11 Interdisciplinary (art forms/works integrating more than one discipline).:

Organizational Discipline 14:

Click to select option 14 Multidisciplinary (more than one discipline).:

Organizational Discipline 99:

Click to select option 99 None of the above.:

Click to select option G General (No predominant racial/ethnic identity).:

Click to select option 99 None of the above.:

Project Discipline 14:

Click to select option 14 Multidisciplinary (more than one discipline).:

Project Discipline 11:

Click to select option 11 Interdisciplinary (art forms/works integrating more than one discipline to form a single work).:

Click to select option G General (No predominant racial/ethnic identity).:

The arts in healthcare or as aids in healing including community responses to natural disasters or other tragedies.:

Check to select 9M Presenting - The presentation of exhibitions, productions, etc., created elsewhere.:

Project Descriptors 9A:

Check to select 9A Computer/Digital Technology - The use of new technology for the creation or dissemination of artworks, or for organizational management purposes.:

Click to select option 31 Curriculum Development/Implementation (includes the design and distribution of instructional materials, methods, evaluation criteria, etc.).:

Activity Type 20:

Click to select option 20 School Residency (artist activities in an educational setting).:

Activity Type 21:

Click to select option 21 Other Residency (artist activities in a non-school setting).:

Activity Type 30:

Click to select option 30 Student Assessment.:

Activity Type 35:

Click to select option 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.).:

Activity Type 99:

Click to select option 99 None of the above.:

(Do NOT include student works, adaptations, re-creations, or re-stagings of existing works.):

curated/presented. (Include visual arts, media arts, films, film festivals, and design. Count each created film festival as a single exhibition.):

Number of Books and Catalogues: Enter the estimated number of books and/or catalogues to be published. (The number of different titles, not the number distributed. Do NOT include performance programs or guides, newsletters, or other ancillary material.):

Number of Artworks Documented:

Enter the estimated number of artworks to be identified/documented. (i.e., for the purpose of creating a comprehensive list, inventory, or catalogue. Include works digitally converted for documentation or access purposes.):

Number of artists' residencies: Enter the estimated number of artists' residencies. (Artists' activities in schools or other community settings over an extended period of time.):

Number of Schools to Participate: Enter the estimated number of schools (pre-K through grade 12) that will actively participate. (Those schools that will be involved actively in your project, not those to which material is simply distributed.):

Number of Organizational Partners: Enter the estimated number of organizational partners. (Organizations that combine resources and work together to make the project happen. Do NOT include funders unless they will actively participate.):

Number of Apprenticeships:

Enter the estimated number of apprenticeships/internships.:

Number of Broadcast Hrs:

Enter the estimated number of hours to be broadcast on radio, television, or cable.

(For series, include hours for all broadcasts. Include broadcasts that occur after the end date of the project only if they will be a direct result of the funding of this application. Do NOT include public service announcements, advertising or other promotional activities, or Web-casts.):

Number of artists: Enter the estimated number of artists. (Those artists who will participate actively in the project including members of performing groups and living artists whose work will be represented.

Do NOT include technical, managerial, or administrative support.

If an artist also is a teacher, you may count that person as either an artist or a teacher, but not both.):

Number of teachers : Enter the estimated number of teachers.

(Those teachers who will participate actively in the project.

If a teacher is also an artist, you may count that person as either an artist or a teacher, but not both.):

Number of children/youth: Enter the estimated number of children/youth.

(Those 18 years of age or younger.):

Number of Individuals Benefiting: Enter the total number of individuals benefiting. (Include all those from the left column plus others to be involved in the project during the "Period of Support" that you have indicated for your project. Do NOT include broadcast audiences.):

Number of Broadcast Audience:

For radio, television, and cable broadcasts, enter the estimated total audience. (For series, include audience totals for all broadcasts.

Include broadcasts that occur after the end date of the project only if they will be a direct result of the funding of this application. Do NOT include public service announcements, advertising or other promotional activities, or Web-casts.):