Community Music Organization Grant Application Music organizations located and providing services in Los Alamos County may request up to $750 in operating or initiative/project support for work that expands knowledge and appreciation of genres such as classical, orchestral and band music, light opera, marching band, and choral performances, primarily for adult populations. Before submitting this application, please make sure your organization (or fiscal sponsor) is current with all state and federal reporting requirements including being in good standing with the IRS, NM Secretary of State and NM Attorney General. Please contact us with questions. BEFORE YOU BEGIN! Please print this page or copy the questions below and complete the narrative answers in a separate file, then copy and paste the answers into the form below once you are ready to submit. There is no 'save' feature on the application form - you must complete and submit the form in a single session. Contact Information Applying Entity Name * Tax ID Number of Entity or Fiscal Sponsor * Primary Contact Name (First) * Last * Phone * Email * Address * Address Street Address 1 Street Address 1 Street Address 2 Street Address 2 City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Project Information Project Title ('Operating Support' is appropriate if you intend to use funds for operations rather than to support a specific initiative or project) * Requested Amount * Briefly describe your organization's mission and work. (250 word limit) * 0 of 250 max words Describe how you would utilize the funding if awarded (project scope). Please tie the activity to the attached budget. (250 word limit) * 0 of 250 max words Explain how the grant will make a difference in your organization’s ability to expand knowledge and appreciation of music for primarily adult populations. Be specific in tying these goals to the requested funding. (500 word limit) * 0 of 500 max words Briefly describe the population(s) you serve. Include approximate number, age range and residency. (250 word limit) * 0 of 250 max words Please share anything else you would like us to know about this funding request. Describe any other funding or partnerships here. (500 word limit) 0 of 500 max words Financial Information Is your organization using a fiscal sponsor? * Yes No If you are using a fiscal sponsor, provide name below Please provide an organizational budget and show us how you are going to use these funds. (You may attach a Word document, Excel spreadsheet, or .pdf document.) * Drop a file here or click to upload Choose File Maximum file size: 33.55MB Certification By completing the fields below, the applicant certifies that the submission of this funding application has been authorized by the organization’s Chief Executive and/or Board of Directors. Name of Authorizing Person * Title of Authorizing Person * Authorization Date * Submit If you are human, leave this field blank.
