1. Contact Information:

Prefix:

 * First Name:

 Middle Initial:

 * Last Name:

 Title:

 Organization:

 * Address:

 * City:

 * State:

 * Zip Code:

 * Country:

* Phone:

 Fax:

* E-mail:

2. Questions:

This proposal is for a training program primarily for:

 This training program is:

 Length of Project:

 Request Amount: $

 Organization's total budget: $

 Total Arts Education Budget: $

 3. Why do you consider your area to be rural and how would this project address the challenges of providing professional development for teaching artists in you area? (Not more than 200 words)

4. Description of organization including year founded and arts education mission. (Not more than 500 words)

5. Description of the project for which funds are requested. Include # of hours of training, brief description of curriculum and personnel. (Not more than 750 words)

6. If your organization is applying for renewed funding for a previous or current Dana-funded project, please describe what you have learned from the project and how would Dana funding enable you to move forward? (not more than 500 words)