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Bucks County PA Scholarship Application
Application deadline: December 7, 2018
Grantees announced December 14, 2018
How to Apply:
Complete this simple application (2 pages).
For more information call TAHIRA at
866-500-9265.
SECTION 1
Name
*
First Name
*
Last Name
*
Phone
Email
*
Name of school
*
School address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Grade levels your school serves
*
Number of students
*
SECTION 2
1. Have you received a grant from Bucks Artist-In Residence in the past?
*
No
Yes
If Yes, what school year did you receive the grant?
*
2017 -2018
2016 – 2017
Before 2016
2. Which art form(s) might you be most interested in bringing to your students?
*
Visual art
Music
Theatre/Drama/Storytelling
Dance/Movement
Literary Arts
3. Does your school have a focus or theme for this year?
*
No
Yes
If yes, please describe
*
4. Is there a curricular connection you would like YA’s arts programming to address?
*
No
Yes
If yes, please describe
*
5. What type of program are you most interested in?
*
Assembly Performance
One-Day Workshop
Professional Learning
Multi-Day Artist-in-Residence
Most assembly performances can serve up to 250 students. If 2 performances are needed, they will need to be back-to-back (less than 30 minutes apart). Can your school accommodate this schedule?
*
Yes
No
If no, please explain
*
A One-Day Workshop can serve up to 4 classes of students per day, no more than 25 students per workshops. Which grade level(s) would you like to participate in the one-day workshop?
*
Please specify your Professional Learning topic (optional)
If you ate not sure we will help guide you through this process
If you elect to have a multi-day artist-in-residence, that program offering includes the workshops, an assembly performance AND a professional development session (PD). Will your school be able to schedule all three components of this school year?
*
Yes
No
If no, please explain
*
Which grade level(s) would you like to participate in the multi-day artist-in-residence?
*
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