FY 2010 ARTS IN EDUCATION K-12 Arts Challenge Minnesota

ProgramProgram OverviewOverview andand ApplicationApplication InstructionsInstructions

Park Square Court Suite 200 400 Sibley Street Applications accepted Saint Paul, MN 55101-1928 September 8, 2009, through April 30, 2010 (651) 215-1600 (800) 8MN-ARTS Notification of approval TTY (651) 215-6235 FAX (651) 215-1602 Ongoing [email protected] For activities that take place www.arts.state.mn.us October 19, 2009, through August 31, 2010 MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 1

PROGRAM OVERVIEW page About the Minnesota State Arts Board...... 3 K-12 Arts Challenge Minnesota grant program overview...... 3 Who may apply for a K-12 Arts Challenge Minnesota grant...... 3 The residency model...... 4 Creating a successful residency...... 5 Application review process...... 5 If you receive a grant...... 6 When and how to submit your application...... 6

APPLICATION INSTRUCTIONS How to complete the application form...... 7 Residency budget...... 7 Sample budget...... 9 Proposal narrative...... 10 Nonprofits and schools managed under M. S. 123B.04...... 11 Certifications...... 11 Signatures...... 11

Application form...... APPL-1 through APPL-5

IMPORTANT NOTES The grants described in this guide are dependent on an appropriation to the Minnesota State Arts Board from the National Endowment for the Arts.

The required information in your application is open for public inspection under Minnesota Statues, and is eligible for review and comment by the Arts Board.

Equal opportunity to participate in and benefit from the programs of the Minnesota State Arts Board is provided to all individuals regardless of race, national origin, color, sex, age, religion, sexual orientation, or disability in admission, access, or employment.

Arts Board materials will be made available in an alternate format, upon request.

IF YOU NEED HELP If you have questions about the K-12 Arts Challenge Minnesota program, these application materials, your proposed residency, or about selecting an artist, contact:

Amy Frimpong, senior program officer (651) 215-1607 [email protected] (800) 866-2787 7-1-1 Minnesota Relay MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 2

ABOUT THE MINNESOTA STATE ARTS BOARD The Minnesota State Arts Board works to ensure that all Minnesotans have the opportunity to participate in the arts. It serves as a leading catalyst for creating a healthy environment for the arts that fosters broad public participation in, and support for, the arts in Minnesota; promotes artistic excellence and preserves the diverse cultural heritage of the people of Minnesota through its support of artists and organizations; acts as a responsible steward of the public trust; and works with the statewide network of regional arts councils to ensure accessibility to arts activities for all Minnesotans.

The Arts Board is governed by a board of eleven private citizens who are appointed by the governor. More than 100 volunteer advisory panel members are appointed each year to review grant applications and make recommendations to the board.

The Arts Board awards approximately $6 million to artists, arts organizations, schools, communities, and other nonprofits each year. Funds are appropriated by the State of Minnesota, with supplemental grants from the National Endowment for the Arts and the private sector.

In addition, Minnesota’s eleven regional arts councils provide grants for arts activities in their regions. The Arts Board acts as fiscal agent to the councils, but each council has local decision making authority over the state funds it receives. For more information about grant opportunities and programs specific to your region, please visit the Arts Board Web site www.arts.state.mn.us and select Regional Arts Councils.

K-12 ARTS CHALLENGE MINNESOTA GRANT PROGRAM OVERVIEW The K-12 Arts Challenge Minnesota grant is designed to provide schools in greater Minnesota with low- cost artist residencies. It addresses the special needs of schools that have not applied for or received funding recently from the Arts Board’s School Support grant program. K-12 Arts Challenge Minnesota grants are intended to help schools involve professional artists to strengthen their arts programming.

Grants will be awarded on a first come, first served basis. The Arts Board will begin accepting applications on September 8, 2009, and continue accepting applications until all program funds are expended, or April 30, 2010, whichever comes first. Application review will be ongoing. You are welcome to contact the Arts Board at anytime to find how much funding is still available to be awarded.

WHO MAY APPLY FOR A K-12 ARTS CHALLENGE MINNESOTA GRANT Any Minnesota public or private nonparochial school; or a nonprofit, tax-exempt organization established in the state of Minnesota, that primarily focuses upon the education of students in grades K-12, and:  Is located outside the seven-county metro area;  Has not received a Minnesota State Arts Board School Support grant in the past three years: school years 2008-09, 2007-08, or 2006-07, and  Has not applied for or been awarded an Arts Board School Support grant for FY 2010. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 3

THE RESIDENCY MODEL K-12 Arts Challenge Minnesota funded residencies must adhere to the Arts Board residency model. The Arts Board’s arts in education program has developed a model that outlines the characteristics, roles, and responsibilities necessary for any artist residency funded by the Arts Board. So long as they accomplish these minimum requirements, artists and schools may design any kind of residency they wish.

1. Artist fee  Artists must be paid at least $250 per four-hour contact period day. Paired artists are paid as two individuals.

2. Artist contact  Residency must be lead by a professional artist who has the ability to teach an art form to K-12 students.  Five days is the minimum for artist contact; longer residencies are encouraged. Artist contact must be limited to four hours per day. Residency days need not be consecutive. Contact periods include: class sessions with students, structured in-service training or classes with teachers, and demonstrations or performances meeting the community involvement component. Artists should not be expected to teach more than four classes per day, regardless of the length of the classes.

3. Core / Exposure group  A core group is defined as a specific group of students who work with the artist during the residency. An exposure group is defined as other students who work with the artist during the residency on a limited basis, outside the core group. At least one core or target group of students must receive extended in-depth contact with the artist for at least five days.

4. Teacher - Artist planning day  A separate, four-hour planning period between each artist and the contact teacher must take place prior to the residency. Each artist must be paid at least $250 for the planning day, and this amount must be included in the residency budget.

5. Teacher - Artist contact (in-service days)  At least two hours per residency week of teacher-artist contact time must be scheduled as part of the artist’s paid contact time. Contact time may include in-service workshops with many teachers; private meetings with the core teacher; student evaluation, assessment, and hands-on arts activities; planning and follow-up activities; or arts program consultation.

6. Partnership  To ensure a successful residency, the teacher must be present during all artist-student contact time so the teacher and artist can work cooperatively to maintain a productive working environment in the classroom.

7. Community  To broaden the total impact of the residency, the general community must be involved in some aspect. For example, schools may invite the community to an exhibit of students’ residency work, host a meet the artist night, sponsor a community education class, or a variety of innovative ideas.

8. Optional  To enhance your residency plan, elements of art history, arts criticism, and aesthetics may be used. However, a residency cannot focus strictly on one of these areas. The experience of a professional artist must be the central focus. This component is not a requirement, but rather an option for program inclusion. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 4

CREATING A SUCCESSFUL RESIDENCY Many schools have found the following steps useful in planning a successful residency that meets the needs of their teachers and students.  Select a residency coordinator/contact person who will work with teachers and artists to plan and carry out the residency. The coordinator may be responsible for artist selection, managing residency details, and preparing the grant application.  Form a planning committee to oversee assessment of arts needs and overall residency planning. Members may include administrators, teachers, parents, community members, and students.  Examine your school’s artistic goals and arts curriculum objectives.  Determine appropriate residency activities. Select an arts discipline or a number of disciplines, and the types of artists with whom you would like to work.  Interview several artists and view their work to select artists who will work well with your teachers to help you accomplish your goals.  References: Contact the artist’s references. You may request alternative references in order to discuss the artist’s strengths in regard to a particular age group or residency type.  Ask the artist you select to become part of the planning team to work with you on goals, objectives, schedule, core group composition, teacher involvement, community events, publicity, evaluations, and budget. The artist must receive a copy of the complete application and sign the certification statement.  Review material; ask questions of the Arts Board; request technical assistance, if needed.

APPLICATION REVIEW PROCESS Applications will be reviewed in the order in which they are received. Grants will be awarded on a first come, first served, basis until all funds have been allocated.

The criteria listed below will be used to review the quality of each application. The firstartistic quality and meritis the primary criterion. The remaining items are secondary criteria.

1. Artistic quality and merit of the proposed residency, as demonstrated by: a. the residency plan, including an overall schedule of what activities the artist will provide and the grade level of the students being served; b. the artistic goals of the school and how the residency goals fit school goals and meets curricular objectives; and c. demand or need for the residency and how it complements rather than replaces the existing arts resources in the school; 2. Ability of the school applicant to accomplish the residency, as demonstrated by: a. the makeup of the school planning team members and the planning process; b. how the school, students, staff, and community will be prepared for and involved in the residency; c. involvement of parents and community in the residency; d. the financial commitment to the residency by the school and the community; e. how the residency will be publicized and documented; and f. the depth and breadth of the partnership between the artist and the educators; 3. Impact of the proposed residency on school curricula, as demonstrated by: a. the school's progress toward a comprehensive education in the arts for all students; b. program enhancement by an art critic/historian/aesthetician; and c. the use of artist/teacher contact time, including teacher in-service;

4. Evaluation of the residency, as demonstrated by: a. how impact of the residency will be evaluated or assessed; b. how evaluation is linked to goals; and c. the type(s) of evaluation tools/methods and the reason(s) they were chosen. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 5

If Arts Board staff finds an application to be incomplete or ineligible, the applicant will be notified and given the opportunity to make revisions, when possible. That application will be considered only upon the satisfactory completion of revisions. Incomplete applications will lose their place in order until revisions have been made and completeness has been determined.

IF YOU RECEIVE A GRANT Schools receiving funding will be required to sign a contract stipulating the terms of the grant award. When the grant contract arrives:  Have your school’s authorizing official read and sign all copies of the contract. RETURN THE CONTRACT AS SOON AS POSSIBLE. Payments are made within 45 days after the Arts Board receives signed documents. Grants are made directly to the school superintendent’s office, governing body, or authorizing official’s office.  Contact the artist you selected to solidify your plans.

If you submitted your application without the artist’s signature, the Arts Board must receive a signed signature page from the artist before a contract can be processed.

K-12 Arts Challenge Minnesota grantees will have from October 19, 2009, to the end of their school year or August 31, 2010, whichever date comes first, to complete grant activities.

All grantees must comply with applicable state and federal laws.

WHEN AND HOW TO SUBMIT YOUR APPLICATION Applications may be submitted at any time between September 8, 2009, and April 30, 2010. Funds will be awarded on a first come, first served, basis until they have all been expended. You are welcome to contact the Arts Board at anytime to find how much funding is still available to be awarded.

Mail or deliver your completed application to the Arts Board at the following address: K-12 Arts Challenge Minnesota Minnesota State Arts Board Park Square Court, Suite 200 400 Sibley Street Saint Paul, MN 55101-1928

The Arts Board cannot accept applications via fax or e-mail. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 6

HOW TO COMPLETE THE APPLICATION FORM Applicants must complete and submit the official application form. The Arts Board cannot accept applications via fax or e-mail.

1. APPLICANT INFORMATION Submit one application per school site or building. If, however, a residency project spans more than one school site or building, the applicant should submit only one K-12 Arts Challenge Minnesota application, as a district.

When referring to a single school, school district, or other educational organization, this application uses the term “the school.”

The primary contact person is the individual named in the early planning process with authority to act for your school on grant activity matters such as signing final reports and routine contact with the Arts Board. This person has primary responsibility for contact with the artist. The authorizing official is the individual given authority by the school district, or applicable governing body, to enter into contracts for the organization. If the applicant is a school within a public school district, the authorizing official is usually the district superintendent.

2. RESIDENCY INFORMATION Applications are reviewed on a first come, first served basis. Applicants must allow six weeks after the date they submit their application and the starting date of their residency, for example: if a school submits an application on September 8, 2009, the earliest start date for the residency will be October 19, 2009.

K-12 Arts Challenge Minnesota applicants must choose an artist from the Minnesota State Arts Board AIE Roster of Artists, available on the Arts Board Web site, at www.arts.state.mn.us/aie/. This listing includes high caliber Minnesota artists chosen through a juried review of both their artistic merit and their ability to teach students. Schools may not select or work with an arts organization in a K-12 Arts Challenge Minnesota residency.

NOTE: The Arts Board does not run background checks on artists listed in the Roster of Artists. Schools should follow Minnesota law and district hiring procedures regarding criminal background checks for all personnel working with youth.

3. RESIDENCY BUDGET Schools may request grants of up to $2,500 from the Arts Board and must provide a match of at least 25 percent of the total residency expense. The match can be partially cash/partially in-kind provided that the cash income is equal to or greater than the cash expenses. Cash sources may include school budgets, parent groups, fundraising events, local service groups or businesses, and other grants. The Arts Board grant request may not exceed 75 percent of the total anticipated expenses, including cash and in-kind expenditures.

In-kind means expenses that are incurred but not paid for in cash. They may include donated materials, labor, space, or services for which you do not pay cash. Sources may be local arts supply stores, printing businesses, restaurants and motels for artist meals and lodging, among others. The items must be necessary for and specifically committed to the residency, and listed at a fair market dollar value. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 7

ESTIMATED EXPENSES: List all expenses directly associated with the residency in the appropriate cash or in-kind column. 1. Artist professional services: To be eligible for this grant, schools must pay artists at least $250 per day for residency and planning days. 2. Artist travel and expenses include costs specifically identified with the residency, such as accommodations, food, transportation, etc. Indicate the rates used. The rates should be negotiated between the artist and the contact teacher. When making living arrangements, the school may consider some cash saving measures, such as housing the artist with a host family (check with the artist first), asking a local hotel to donate all or part of an artist’s stay, or providing the artist with complimentary lunches. 3. Publicity and documentation expenses includes all costs specifically identified with promoting or publicizing the residency, such as newspaper, radio, or television advertising, printing and mailing brochures, flyers, posters, etc. Also list videotape, film and development costs, and other items associated with documenting the residency. 4. Administrative personnel expenses may include payments for salaries, wages, and benefits specifically related to the residency. This might include contact people, other administrative or clerical staff, or support personnel such as maintenance and security staff, etc. AIE grants are primarily intended to cover artist fees and expenses. Keep administrative and personnel expenses to a minimum. For all administrative personnel, multiply the number of hours by the hourly wage. The dollar-per-hour amount to be used when figuring the in-kind value of volunteer time should be based on minimum wage. (For information about federal and state minimum wage laws, visit the U. S. Department of Labor Web site: http://www.dol.gov/esa/minwage/america.htm ) Include time teachers will spend planning or taking in-service training during the residency; do not include regular classroom time. 5. Space rental/arts supplies includes payments for rental of office, rehearsal space, theater, hall, gallery, or artistic studio space not routinely used by the school, or space used outside normal school hours. Arts supplies are any arts materials needed to complete the project. 6. Remaining residency expenses might include equipment rental, or other costs that do not fit within other expense categories.

ESTIMATED INCOME: Identify the sources of all income, both cash and in-kind. Indicate whether each item is projected (P) or confirmed (C). You do not need to list income under all categories. 10. Applicant income includes cash the school has budgeted specifically for this residency, and services or personnel donated to the project. 11. Grants other than Arts Board includes funds from federal, state, local, public, and private sources, to be used specifically for events during the residency. Do not include projected Arts Board grant. 12. Earned and other income includes funds derived from fundraising campaigns or events. 14. Arts Board grant request cannot exceed $2,500.

Total: All expenses (line 9) and Total: All income (line 17) must be equal. Please check your math. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 8

SAMPLE BUDGET

Estimated Expenses CASH IN-KIND 1. Artist professional services Total # residency days 5 x $250/day $1,250 2-hr in-service Total # planning days 1 x $250/day 250 with 8 teachers Total # in-service days .5 x $250/day 125 2. Artist travel and expenses Mileage (84 miles x 55¢/mile) 46 Lodging ($65/night x 6 nights 195 $ 195 Meals ($30/day x 6 days) 180 Administrative 3. Publicity and documentation expenses expenses Video and audio materials 100 Flyers, duplication 50 4. Administrative personnel Contact person (15 hrs x $30/hr) 450 Teacher release time (8 teachers x 2 hrs x $30/hr) 240 240 Check with 5. Space rental/arts supplies artist about Art materials 200 100 needs 6. Remaining residency expenses Parent volunteers (16.75 hrs x $6.15/hr) 103 7. SUBTOTAL: Cash expenses $ 2,936 8. SUBTOTAL: In-kind expenses $ 788 9. TOTAL: All expenses (line 7 + line 8) $ 3,724

Estimated Income - Identify each item and the source, indicate whether each is pending (P) or confirmed (C). 10. Applicant income CASH IN-KIND District funds $ 300 C Staff development $ 300 C 11. Grants other than Arts Board PTO funds / volunteers 200 193 C 12. Earned or other income Art card sale fundraiser 136 P Motel (50% donation) 195 P Donation, supplies from art supply store 100 C Donation, video equipment 300 C 13. Income from sources other than the Arts Board 939 14. ARTS BOARD GRANT REQUEST 2,000 (cannot exceed 75% of line 9 above) 15. SUBTOTAL: Cash income (line 13 + line 14; must equal line 7) $ 2,936 16. SUBTOTAL: In-kind contributions (must equal line 8) $ 788 17. TOTAL: All income (line 15 + line 16; must equal line 9) $ 3,724 MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 9

4. STATISTICAL INFORMATION The Arts Board will use this information for general research purposes. In addition, this information will help the Arts Board determine how many people will be affected by the residency. Indicate the number of students (item 3a) and teachers/administrators (item 3b) who will be involved in residency activities. The Arts Board also will consider the degree to which parents and members of the community (item 3c) are involved in your residency or participate in residency related activities (i.e., performances or events).

5. PROPOSAL NARRATIVE Answer questions as clearly and succinctly as possible. Avoid using acronyms or jargon that may be unfamiliar to someone outside of your school. When preparing your narrative, follow the guidelines for Formatting Written Attachments below. Use a maximum of THREE pages to answer the following questions: 1. What is the residency plan?  Describe the proposed residency, and why you chose FORMATTING WRITTEN this artist. ATTACHMENTS  Identify who will make up the core group and exposure group, the proposed contact time activity,  A page means a standard 8.5- how the members of the groups will participate in the by 11-inch letter-size page  Use only one side of the page residency, and why these groups were chosen.  Use 1-inch margins on each 2. How will this residency achieve the artistic goals of your side school?  Do not photo reduce or exceed  Describe the artistic goals of the school and how the artist margins and residency activities will address these goals.  Lines may be single-spaced  How does the residency tie into the curriculum or  Use black, 12-point type address the graduation standards? 3. How have you planned for this residency? Who is involved in the planning team for this residency? Please give names and titles along with a brief description of how each person is involved in planning, implementation, fundraising, publicity, community event, and documentation of the residency. 4. What impact will the residency have on those involved?  Artist/teacher: How will they work together? Include any in-service plans or preparation time. What will teacher participation be?  School preparation: How will the students, education staff, and community be prepared for the residency? How will student learning be evaluated?  Community component: How will parents and the broader community be involved in the residency?

5. How will you evaluate the impact of the residency?  Describe the evaluation process you will use to assess the impact of the residency on all who will be involved.  How will you determine if the residency met its goals? MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 10

6. NONPROFITS AND SCHOOLS MANAGED UNDER MINNESOTA STATUTE 123B.04 The following are required attachments for applicants that are nonprofit organizations, or schools with a site management agreement.

 If the applicant organization is not a public school or a government agency — provide one copy of the letter certifying its nonprofit, tax-exempt status from the Internal Revenue Service, or a written, signed copy of the contract your organization has entered into with a nonprofit fiscal agent. Also attach a letter from the principal of the school where the residency will take place. The letter must indicate the principal’s support for the planned residency and briefly describe how the residency will benefit the school, and how the nonprofit and school personnel (teachers and administrators) are working together to plan and carry out the residency.

 If the applicant is a school managed on site under Minnesota Statute 123B.04 — provide one copy of the school site management agreement between the school board and the school site decision making team.

7. CERTIFICATIONS Review each item and check each when it is completed. Items left blank will flag your application as potentially ineligible of incomplete.

On the checklist, indicate whether the school has obtained the artist’s signature before submitting the application, or has asked the artist to sign and submit the signature page directly to the Arts Board. (See next item, Signatures, for more detail.)

8. SIGNATURES A complete application will include original signatures from at least three different peoplethe primary contact person, the authorizing official, and the artist(s).

 Primary contact person: the individual who has coordinated artist selection, residency details, prepared the grant application form, and who will serve as the contact for grant matters and communication with the artist.

 Authorizing official: the individual given authority by the school district, or applicable governing body, to enter into contracts for the organization. If the applicant is a school in a public school district, the authorizing official is usually the district superintendent.

 Artist(s): Must be selected from the Minnesota State Arts Board AIE Roster of Artists.

A school may submit its application:

 After obtaining all necessary signatures (contact person, authorizing official, and artist(s); or

 With signatures of the contact person and authorizing official and ask the artist to submit his/her signature under separate cover. Choosing this option will not make the application incomplete if all other application requirements are met and application materials and attachments are submitted.

If your school chooses to have the artist submit his/her signature separately, please make two photocopies of the completed application. Send the original, with school’s two required signatures, to the Arts Board. Send the second copy, with a postage-paid envelope addressed to the Arts Board, to the artist. Ask the artist to sign and submit only the application certification, page APPL- 5, to the Arts Board, and keep the rest of the application for his/her files. If your request is approved, the Arts Board must receive the artist signature page before it can issue a grant contract. MINNESOTA STATE ARTS BOARD | K-12 ARTS CHALLENGE MINNESOTA FY 2010 Application Instructions page 11

MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 12

1. APPLICANT INFORMATION Please type or print clearly in ink

Applicant school / Organization legal name

Use this name for publicity purposes Alternate name (if any) / School building name(s)

School street address

City State Zip

Mailing address, if different than above

City State Zip

Primary contact person Title

Day phone with extension Fax

E-mail address Web site address / URL

Superintendent or authorizing official name

School district name (and district number, if applicable)

School district address

City State Zip

Federal tax ID number Minnesota employer ID number

2. RESIDENCY INFORMATION

Begin date End date Write a one-sentence summary of your residency in the space below. For example, “Painter Michelangelo and dancer Maria Tallchief will conduct a residency focused on the human figure at rest and in motion.”

MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 13

Applicant name

3. RESIDENCY BUDGET ESTIMATED EXPENSES Cash In-kind 1. Artist professional services Total # residency days x $250 / day [required] $ For help Total # planning days x $250 / day [required] completing your budget, Total # in-service days x $250 / day and to see a 2. Artist travel and expenses sample budget, Mileage ( miles x 55¢ /mile) please turn to $ Application Instructions, pages 7 - 9.

3. Publicity and documentation expenses

Round all 4. Administrative personnel numbers to the nearest dollar.

5. Space rental / arts supplies Subtotal for in-kind expenses must equal subtotal 6. Remaining residency expenses for in-kind income 7. Subtotal: Cash expenses $ 0 8. Subtotal: In-kind expenses $ 0 9. TOTAL: All expenses (lines 7 + 8) $ 0

ESTIMATED INCOME Cash In-kind P or C Identify each item and the source. Indicate whether the income is projected (P) or confirmed (C). 10. Applicant income School or district funds $ $

11. Grants other than the Arts Board

12. Earned or other income

13. Income from sources other than Arts Board 0 (sum of lines 10 + 11 + 12) 14. Arts Board grant request Cannot exceed 75 percent of line 9 15. Subtotal: Cash income $ 0 (lines 13 + 14, must equal line 7) 16. Subtotal: In-kind contributions (must equal line 8) $ 0 MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 14

17. TOTAL: All income (lines 15 + l6, must equal line 9) $ 0 MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 15

Applicant name

4. STATISTICAL INFORMATION Statistical information is used to help the Minnesota State Arts Board record the people served during the Arts Board’s grant year. Record the number of individuals expected to benefit directly from this residency. a. Students – the number of students expected to be in session with the artists Of the total students (3.a.), how many are students of color? (*)

b. Teachers / administrators – the number who will be involved in this residency c. General public – adults in the broader community (excluding teachers and administrators) who will benefit from this residency

d. Total (3.a. + 3.b. + 3.c.) 0 (*) For this application, students of color includes American Indian/Alaska Native, Asian, Native Hawaiian/Pacific Islander, Black/African American, Hispanic/Latino

5. PROPOSAL NARRATIVE (Required attachment for all applicants) Use a maximum of three pages to address the narrative items on page 10 of the Application Instructions

6. NONPROFITS AND SCHOOLS MANAGED UNDER MINNESOTA STATUTE 123B.04 (Required attachment for applicable organizations) See Application Instructions, page 11

7. CERTIFICATIONS Review each item and check the box when it has been completed. Items left blank will flag your application as potentially ineligible or incomplete.

Eligibility Items The applicant is a Minnesota public or private nonparochial school, or an institution exempt from taxation under the Internal Revenue Code and established in the state of Minnesota, whose primary focus is the education of students in grades K-12.

The applicant is located outside the seven-county metropolitan area.

The applicant has not received an AIE School Support grant from the Arts Board within the past three years.

The applicant has not applied for or received an AIE School Support grant from the Arts Board for FY 2010.

The proposed residency does not begin before October 19, 2009, and will be completed on or before your school year ends, or August 31, 2010, whichever takes place earlier. MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 16

Applicant name

The proposed residency meets at least the minimum requirements of the Arts Board residency model: Includes a professional artist listed in the current Minnesota State Arts Board AIE Roster of Artists that is posted on the Arts Board Web site: www.arts.state.mn.us. Artists must be paid at least $250 per day; Is at least five days or longer in duration; Includes one core group or class of students to work with the artist(s); Includes a paid, four-hour planning day between the artist(s) and contact teacher; Includes at least two hours per week for artist-teacher contact time; Provides that a teacher is present during all artist-student contact time; and Involves a community component.

The proposed residency does not include any of the following activities or uses of funds: A residency that consists exclusively of presentations by student organizations or student artists; A residency that is exclusively for curriculum development; A residency that is to be funded by the Arts Board in an amount that is greater than 75 percent of the total residency costs, and that does not include some cash match from the applicant; A project budget that contains combined funding from one of Minnesota’s eleven regional arts councils and the Arts Board, that amounts to more than 75 percent of the project’s total expenses; A residency that serves a major audience other than elementary or secondary students and faculty; A residency that takes place outside the state of Minnesota; Production costs associated with the creation of an arts event (e.g., costumes, sets, matting and framing costs, etc.); Funds to purchase or commission a work of art; Artist fees to include an arts organization in the residency; Activities in which artists are required to pay excessive fees in order to exhibit or perform; Payment of debts incurred before grant activities begin; Activities essentially for the religious socialization of the participants or audience; Activities in primary or secondary parochial schools; Activities that attempt to influence any state or federal legislation or appropriation; Capital costs (such as improvement, construction, property, or equipment costing more than $5,000), or endowment funds; Events that are not open and accessible to the entire general public, and when feasible, do not establish admission charges for the events. MINNESOTA STATE ARTS BOARD FY 2010 K-12 ARTS CHALLENGE MINNESOTA Application Form APPL - 17

Completeness Items We have dated the certification statement on page APPL - 5, item 8, and obtained signatures from: Contact person Authorizing official Artist(s) — or — Artist(s) will submit signed certification page(s) directly to the Arts Board

We have submitted the following required materials: FY 2010 application form (pages APPL - 1 through APPL - 5) We have reviewed our budget to make sure it is complete and correct. We have identified all expenses as either cash or in-kind, and have identified all income as either projected or confirmed. Proposal narrative Check only if applicable: Our organization is not a public school or government agency, and we have attached a copy of our federal tax-exempt letter, and a letter of support from the principal of the school where the residency will take place. Check only if applicable: Our school is managed on site under Minnesota Statute 123B.04, and we have attached a copy of the school site management agreement between the school board and the school site decision making team. Optional: We have submitted a self-addressed stamped postcard. Please notify us when the Arts Board receives these materials.

8. SIGNATURES Signatures of two school or organization officials are required; the same person may not sign in both capacities. Submit original signatures only; photocopied signature will not be accepted.

“The signatures below certify that our school/organization meets all of the eligibility requirements of this program, that all information contained in this application and its attachments is true and correct to the best of our knowledge, and that we have submitted a complete application fulfilling all items on the application certification checklist. In addition, the artist(s) certify that they have contributed to and approve of the contents of this application.”

Applicant school / Organization legal name

Primary contact person, print name and title

Signature Date

Superintendent or authorizing official, print name and title

Signature Date

See page 11 of the Application Instructions for information on how to obtain artist’s signature.

Arts Board AIE roster artist, print name

Signature Date