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The Art Endowment
852 Haight Street
San Francisco, CA 94117
(415) 640 . 5041
Contact Us @ Art Endowment . org

The Art Endowment Recipient Application Form

APPLICATION TO RECEIVE ART

(please note: you will be asked for supporting material at your site visit)

Three Part Form


Part I

Name of Organization

Street

City

, CA Zip

Phone

Fax

Email

Website

Contact Person

Executive Director

How did you hear about us


Part II

Type of Organization

Community Public Nonprofit

Primary Focus

Community Development
Culture
Education
Environment
Health
Religion
Social Services
Other:

How many people do you serve annually?

Primary Constituencies
(numbers served)

African-Americans:

Caucasian:
Asian-Americans:

Latino:
Children:

Homeless:
Teens:

Hungry:
Elderly:

Abused:
Families:

Disabled:
Women:

Other:

Other Description:

What is your organization's annual operating budget?


Part III

How many people will be directly affected by the art?

Where would you like to place art

Reception Areas Program Areas Conference Rooms
Other:

Have you seen work on our site that you are interested in? No Yes

Please describe the art you currently own or exhibit on your premises

How did you acquire your current art?

Gift
Temporary Loan
Temporary Exhibit
Purchase from General Fund
Purchase from Restricted Fund
Other:

Does your organization normally budget for art? No Yes

Please describe how art can be used to enhance or achieve your mission and objectives


 


  The information collected here will be kept confidential and will not be used without your permission.







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