Irving S. Gilmore Student Art Engagement Grant Application

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Page 1

Student Contact Information

Please enter the student's full email address and select an option from the search results. If the email is not displayed, or you see an incorrect email address (if any), click the checkbox below to manually enter in contact details.

Email Address

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First Name

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Email Address

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Parent/Guardian Contact Information

First Name

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School

School District of Residence

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School

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Current Grade

Page 2

Please list a project below. This should be a lesson, workshop, or camp. Examples:

Guitar lessons
Glass art workshop
Blue Lake Fine Arts Camp

Grant Project

Name of grant project teacher/organization

Please select one

Grant project teacher/organization - social media link

Attach grant project teacher resume/bio

Please enter the cost of lessons, workshop tuition, or camp fees. One project only. Examples:

24 lessons x $75/lesson = $1,800 annually
One week workshop tuition = $1,000
Two week summer camp fee = $1,500

Expenses

Student question: What art activities have you participated in?

Student question: What do you like about participating in the arts?

Student question: How will this project make you a better artist, musician, actor, etc?

Parent question: How has participating in the arts benefited your child?

Page 3

QUALIFIED USE OF FUNDS
Grant funds are for student arts activities, including individual and group lessons, workshops, camps, internships/apprenticeships, or pre-college coursework.

ACKNOWLEDGEMENT AND PROXY SIGNATURE
Please check the box below. By checking the box, you:

confirm that you will use your grant in accordance with the above qualified use of funds
acknowledge that Kalamazoo RESA will rely upon the submission of this form to ensure funds are used for qualified purposes
agree to return any funds that you are unable to use in accordance with the above guidelines

Note: Average grant amount

K-2^nd - $200

3^rd-5^th - $300

6^th-8^th - $400

9^th-11^th - $500

I have read and agree to the above terms

Hidden Fields

Contact ID

School District ID

School ID

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Contact Information