2. Contact/Applicant Name: *
4. Organization Name (if applicable):*
   If none, type "n/a"
6. Contact Phone: *
7. Contact Email:*
9. Contact Address:*
10. City/Zip*
12. Location of proposed event/project: *
13. Anticipated number of attendees? *
15. Date(s) & Time(s) of the event:*
17. PROJECT DESCRIPTION
19. Include project description here:*
21. Have you done a similar event or project before?*

    1. Yes
    2. No
23. The Arts & Culture Commission cares about diverse audiences and environmental sustainability. Can you tell us how you will address those concerns?*
25. REQUEST
27. Type of Support Requested:*

    1. Publicity
    2. Financial Support
    3. City-owned discounted venue/space
29. Enter $ Amount

31. If discounted venue/space, have you already contacted the Recreation Department at recreation@ci.el‐cerrito.ca.us to inquire about availability and discounted cost? If not, please do so before submitting this application. Review application guidelines here.

33. What is your basic budget, and how will it be spent?
35. Please upload your line‐item budget (if requesting financial support)
37. Have you received funding from the ACC in the past?

    1. Yes
    2. No
39. If yes, provide the history of the past project/event, and how much you were awarded. If you are requesting more than what you were awarded in the past for the same project/event, please provide justification for the increase.
41. Upon implementation of project/event, you will be required to return to the ACC in person to provide a short verbal presentation on how the proposal was implemented. Please confirm that you agree to complete this requirement.

    1. Yes
    2. No
43. STAFF/PERSONNEL
45. # paid staff *
    If none, type "0".
46. # volunteers*
    If none, type "0".
48. If applicable, load additional documents here:
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

* indicates a required field