Do Not Submit This Document All Applications Must Be Submitted Online Via Submittable At

PNC TRANSFORMATIVE ART PRIZE 2016 APPLICATION WORKSHEET DO NOT SUBMIT THIS DOCUMENT – ALL APPLICATIONS MUST BE SUBMITTED ONLINE VIA SUBMITTABLE AT: HTTPS://PROMOTIONANDARTS.SUBMITTABLE.COM/SUBMIT/48938

APPLICANT INFORMATION Legal Name of Organization Contact Person Phone Number Email Executive Director Executive Director Phone Number Executive Director Email Does your organization have 501(c)3 Status? * If your organization does not have 501(c)3 status, name the organization that will serve as your fiscal sponsor Fiscal Sponsor Executive Director Fiscal Sponsor Phone Number

Attach a copy of the 501(c)3 determination letter for your organization or fiscal sponsor * Acceptable file types: pdf, jpg, gif, tiff, png. note that if you use a fiscal sponsor, all checks will be made payable to the fiscal sponsor

Attach a list of board members and officers for your organization * Acceptable file types: pdf, doc, docx, jpg, gif, tiff, png. PDF preferred

ORGANIZATION NARRATIVE

Briefly describe the mission and history of your organization.

Briefly describe the community your organization serves.

List the projects and activities your organization has completed over the last five years. How do your activities reflect your mission?

How do you evaluate the quality or success of the activities / projects your organization has completed? PROJECT PROPOSAL

Project Title

Project Category * Lighting / Projection 2D / Murals / Mosaics 3D / Sculpture / Installation Performance Project Site Address Please provide the full street address for for your proposed project site

Project Site Photo * Acceptable file types: pdf, jpg, gif, tiff, png. Please attach a photo of your proposed project site

Project Description Please describe your proposed project in detail. Include information regarding size, scale, materials, process, programming, etc. Project descriptions can be up to 500 words but can be shorter. Limit: 500 words Project Images / Media * Acceptable file types: pdf, jpg, gif, mp3, mp4, tiff, png, wav, mov, avi, wmv. Please attach drawings, sketches, renderings, and/or audio/video recordings that clearly illustrate your proposed project here.

Up to 5 files can be attached but only 1 is required.

List the project team and their roles & responsibilities. Include artist and community partners.

Attach the project timeline / schedule * Acceptable file types: pdf, doc, docx, jpg, gif, tiff, png. Note that all projects must be completed by December 31, 2016

ARTIST INFORMATION Artist Resume *

Acceptable file types: pdf, doc, docx. Please attach a current artist resume, which outlines your experience as an artist. For artist teams, please attach a combined resume. Please include up to 3 references. (PDF format)

Artist Work Samples: Image / Media Upload Guidelines Please upload five (5) samples of completed past artworks below.

Images must be sized to the following dimensions: baseline JPEG (do not use progressive JPEG format), up to 1 MB in file size.

Acceptable audio/video file formats include: .mp4, .mov, .wmv, .avi, .wav, .mp3, .pdf

File Name: work sample attachments must be titled in the following manner - Last Name, First Name, number corresponding to annotated image list. For example, "DoeJane01", "DoeJane02," etc. Artist Work Samples: Image Upload * Acceptable file types: pdf, jpg, mp3, mp4, wav, mov, avi, wmv. Please upload your 5 artwork samples here.

Annotated Artist Work Sample List * Acceptable file types: pdf, doc, docx. Please include the following: title of work, dimensions, medium, year of completion, location, three (3) sentence description. Please make sure that the information on the attached list can be matched to the corresponding image by the file title. (PDF format preferred)

FINANCIAL INFORMATION

Grant Funding Requested

Please list the amount of funding requested for your project. Funding requests can range from $5,000-$30,000.

Project Budget * Acceptable file types: pdf, doc, docx, xls, xlsx. Please attach your project budget. (PDF preferred)

If the project budget exceeds the grant request, please indicate the source of the additional funds, whether or not they have been secured and if some of the funding sources are in- kind or volunteer time.

Attach the operating budget for your organization's most recently completed fiscal year. * Acceptable file types: pdf, doc, docx, jpg, gif, tiff, png, xls. We want to know what your organization raised last year, from whom, and how you spent it. (PDF preferred)

PROJECT NARRATIVE

What process did your community use to develop this project?

How will this project impact your neighborhood?

Since this project is designed to attract people to your neighborhood, how will you welcome visitors and inform them of this project and your community?

How do you plan to manage the long-term maintenance and upkeep of your proposed project? (performance proposals can skip this question)

LETTERS OF SUPPORT

Letters of Support: Community Members *

Acceptable file types: pdf, doc, docx, jpg, gif, tiff, png. Please attach three (3) letters of support from community members (not your Board members or officers).

Letter of Support: Community Organization Acceptable file types: pdf, doc, docx. Please attach a letter of support from the local community organization for your project site if different from the lead applicant.

Letter of Support: Property Owner * Acceptable file types: pdf, doc, docx, jpg, gif, tiff, png. Please attach a letter of support from the property owner for your proposed project site. Proposals that do not have support and permission from the property owner to execute the project will not be considered.