Instructions

All required fields on this application form must be completed. Completed application form and all other required information must be submitted by the due date in accordance with the Foundation’s Grant Guidelines.

Application

Date of application *

Full name of applicant *

Address *

City *

State *

Zip *

Phone *

Fax

Email *

Date of birth *

Are you a United States citizen? *

Social security number *

Are you currently attending college or high school? *

If yes, please specify name of institution

Proposal category: *

Reason for applying for this grant *

Statement of need and project description: *

Will any other individuals participate in this project? *

If yes, explain their involvement

Anticipated starting date of project *

Anticipated ending date of project *

Total budget for project ($) *

Are you currently receiving other funding for this project? *

If yes, explain

Amount raised to date ($) *

How will you determine / evaluate your project’s success? *

Additional information to be considered

If under 18 years of age, please identify a parent or guardian who will assume responsibility for financial transactions:

Name

Address

City

State

Zip

Phone

Fax

Email

Statement of Accountability

I attest that the information given above is accurate and that if I am awarded this grant, I will strive to the utmost of my ability to achieve the goals I have set, within the timeframe I have outlined **. I have read the submitted materials and give my approval for this grant request.

** Please note: Within one year following receipt of your grant, you will be required to submit a “Proof of Benefit” essay to the Foundation describing ways in which this financial assistance made a difference to your success.

If you prefer to mail our application form, simply click the link below. Please send it to the Bruce Montgomery Foundation for the Arts, P.O. Box 1565, Blue Bell, PA 19422

Download Application Form