NYSMTA District Grant Application

I. Name of District

Name of District

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District Chair

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Address

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telephone and email

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Project Coordinator

(if other than above)

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telephone and email

(if other than above)

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II. Describe your Project

Describe your Project

please include: 1. date of event(s) 2. nature of activities (workshop, master class, etc.) 3. presenters (clinicians, performers, etc.)

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III. Describe your participants - anticipate number and type in each category

a. Members

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b. Students

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c. Non-Members (including family members)

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Total

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IV. Discuss the significance of your proposal

Why should NYSMTA assist in funding this project?

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V. Describe your plans for promoting the event

Include planned publicity, press release, mailings, flyers, etc

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VI. What is the amount of the Grant which your Local is requesting?

amount requesting:

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VII. Outline your projected costs and offer the following information

amount covered by District fundraising

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amount to be paid by the District

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amount of grant money already received/requested (other than NYSMTA) source:

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is the event free: Are there fees for any of the participants? Outline these by categories such as teacher, student, member, non-member, etc.

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what amount shall be paid to the presenters)?

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Offer a project list of other expenses as outlined:

a. publicity

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b. printing

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c. hospitality

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d. supplies

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e. site fees

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f. tunings

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g. other

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VIII. Attach a Treasurers Report.

This should be a comprehensive, detailed line-item report reflecting receipts and disbursements of the District over a period of one fiscal year. It must reflect the entire worth (assets) of the District including all checking and saving accounts, fund balances (if any), or other pertinent information. This report should clearly outline District receipts by item, e.g., dues (if any), student entry fees, teacher participation fees, advertising, etc., and disbursements by item (e.g., printing, postage, telephone, supplies, etc.). This report is a critical component of the application. [.pdf or .csv]

Click to upload or drag and drop

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VIII. Request for MTNA insurance

has been made

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date

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will be made

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date

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