EEC-Cultural Outreach Program Request Form Please fill out all applicable fields below and e-mail or fax to: Varalucksmn (Oay) Slaughter Phone: 816-380-2763 Cell 816-863-3265 Outreach Program Director Or mail to: E-mail: [email protected] ETHNIC ENRICHMENT COMMISSION Or Varalucksmn@ gmail.com Attn: OUTREACH PROGRAM DIRECTOR 4600 East 63rd St., Kansas City, MO 64130 Event date : Time: Organization : Contact Person: Name: 1. Address: 2. Phone: Cell: Fax: Email: Are you Not-for-profit? Other, please specify: Yes NPF ID: ______No Name of Event: Purpose of this program: ______Is this a fund raising program? Location Yes No If yes, please specify

Do you have insurance for this type of event? What would you like to learn/experience from EEC? Yes Insurance Company : ______Policy # ______No Specify reason:

Audience Demographic: Average Age: Approximate Number: Are you requesting general or specific Please check applicable form(s) of request: Commissions/ Countries or perhaps Seminar Instrumental Group geographic region (as available): Singing Fashion Show ______Dancing National Costume ______Culture Box Craft Sales ______Food Sales

Do you require Food Permit/Temporary Food Facility and Equipment: Space available for Event Permit for food sales: Yes NO Classroom Size : ______Stage Size : ______Dressing Room: ______Other available space(s) ______Onsite Equipment : Funding available for EEC Outreach Presentation TV VCR Computer LCD Projector Stipend to Commission : Yes NO Sound System Microphone Amount of Stipend : ______Cassette Player DVD Player Expense Allowance for Special Materials: Other (Specify) ______Expense Allowance for Transportation:

After receiving the completed form, EEC-Outreach Director, Oay Slaughter, will contact you to further discuss your request.

*STIPENDS TO THE COMMISSION ARE GREATLY APPRECIATED*

ETHNIC ENRICHMENT COMMISSION www.eeckc.org

ETHNIC ENRICHMENT AND CULTURAL OUTREACH PROGRAM REQUEST FORM Please fill out all applicable fields below and e-mail or fax to: Varalucksmn “Oay” Slaughter, Outreach Program Director E-mail: [email protected] or: Varalucksmn@ gmail.com Phone: 816-380-2763,C.816-863-3265 Or mail to: ETHNIC ENRICHMENT COMMISSION Attn: OUTREACH PROGRAM DIRECTOR 4600 East 63rd St., Kansas City, MO 64130

Date: ______Organization Name:

Address: City: Zip: State: Telephone: Fax: Title: Contact: E-mail:

How did you learn about us?

Outreach Programs are the backbone of the Mayor's Ethnic Enrichment Commission. Commissioners and their ethnic groups participate in classrooms and/or stage presentations in schools, businesses venues, trade and civic organizations throughout the Kansas City metropolitan area and, occasionally, in other Kansas and Missouri cities by special invitation.

The outreach program committee is the communication channel between the general public and the commission, and the Mayor's Commission. The committee coordinates all ethnic enrichment programs, evaluates the feasibility and availability of members for participation in any proposed event.

Throughout the year the Commission is involved in hundreds of outreach programs either as a group or through individual participation by an ethnic group. Our objectives are:

 Coordinate and facilitate ethnic programs (appearances at schools, festivals, civic groups, business venues and trade organizations),

 Encourage ethnic identity (promote the preservation of ethnic culture, language, customs, music and folk dance), and

 Preserve ethnic heritage (share information on the city's diverse ethnical heritage). Current Membership:

American Indian, African American, Bangladesh, Bolivia, Brazil, Cameroon, China, Colombia, Croatia, Czech & Slovak republics, Ecuador, Egypt, Ethiopia, Finland, France, The Gambia, Germany, Greece, Haiti, Hawaii, India, Indonesia, Ireland, Israel, Italy, Jamaica, Japan, Kenya, Laos, Liberia, Lithuania, Malaysia, Mexico, Morocco, Nepal, Nigeria, Norway, Pakistan, Philippines, Republic of China, Russia, St. Lucia, Samoa, Scotland, Serbia, Somalia, South Korea, Spain, Sweden, Thailand, Trinidad & Tobago, Turkey, Ukraine, Vietnam, and Wales.