Fiscal Sponsorship Application Form
SVC Sponsor
Contact Information
Primary Project Director
First Name
Last Name
Pronouns
Email
Phone
Address Line 1
Address Line 2
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Name of Project
Project Information
What is the project that you want fiscally sponsored?
Mission/Purpose Statement:
What is the frequency of your arts programming?
What is your estimated yearly revenue
Under 10K
10k - 50K
50K - 100K
100k - 250k
250k+
Which model of fiscal sponsorship are you interested in for your project? (Your answer is nonbinding)
Basic
Comprehensive
Not sure, looking forward to learning about both options
Resume + Bio
Upload the resume/cv and bio of your lead
Project Director
Work Samples
Please upload up to 3 relevant work samples.
File size limit: 25MB
File size limit: 25MB
File size limit: 25MB
Web + Social Media
Website:
Instagram:
Facebook:
Other:
COMMUNITY INVESTMENT - 40%
1. Where do you make your work / do most of your programming? Select all that apply:
San Francisco County
Alameda County
Contra Costa County
San Mateo County
Santa Clara County
Solano County
Marin County
Sonoma County
Napa County
Other
2. What communities does your project serve?
3. What is your relationship to those communities?
CAPACITY - 30%
1. How long have you been doing this project (or working in this art form)?
2. How many people are involved in the management of your project?
3. Have you been fiscally sponsored before or are you familiar with the legal and financial nature of fiscal
sponsorship?
READINESS / TIMELINESS - 20%
1. Please detail your programming activities over the next year:
2.
What are your plans for fundraising over the next year? Are there any specific grants you are planning to apply
for? Are there any funds already committed to the project?
EMPOWERMENT - 10%
1.
What are you hoping to get out of fiscal sponsorship at Intersection for the Arts? How will fiscal sponsorship
empower your project?
2.
Intersection for the Arts offers many resources to it’s fiscally sponsored projects, which of the following would
you make use of:
Discounted access to space for coworking and event rental
Professional development and cohort learning opportunities through our Artist Empowerment Program
Community connection through artist based conversations and mixers
3. How would these resources support or amplify your work?
Is there anything else you would like us to consider in reviewing your application?
Paypal_Hidden_Fields
Contact Information