Council for the Arts at MIT
Grants Program
Application Form

Please read the Grants Program Guidelines before completing this application form and guidelines checklist. All sections must be completed. If you have any questions, please call 617-253-4005 or send e-mail to cohen@media.mit.edu.

Applicant and project information

First name*

Middle initial

Last name*

MIT email*

Phone number*
(nnn-nnn-nnnn)

Group name*

MIT affiliation*

MIT address*

Project title*

Project location*

Faculty advisor*

Project start date*
(mm/dd/yyyy)

Project end date*
(mm/dd/yyyy)

Project information

Project description *
limit to 2500 characters/around 450 words, no html (2500 characters left)

How will this project involve the MIT community? *
limit to 750 characters/around 150 words, no html (750 characters left)

Itemized expenses

For each item, the total of the funding and contributions should equal the amount needed. If cash or in-kind contributions are not yet approved, please indicate with an asterisk (*) next to the source.

Project expenses		Amount requested from Council for the Arts	Cash contributions		In-kind contributions
type (materials/equipment/fees/etc.)	total amount	Amount requested from Council for the Arts	source	amount	source	amount
1.	$	$		$		$
2.	$	$		$		$
3.	$	$		$		$
4.	$	$		$		$
5.	$	$		$		$
6.	$	$		$		$
7.	$	$		$		$
8.	$	$		$		$
9.	$	$		$		$
10.	$	$		$		$

Total	$	$		$		$

Total cost: $

Total amount requested from the Council for the Arts: $

Total amount requested from other sources: $

Council for the Arts at MIT Grants Program Application Form

Applicant and project information

Project information

Itemized expenses

Council for the Arts at MIT
Grants Program
Application Form