Art With Kids Grant Application for Teachers 2009/2010

Available to teachers in the  NY, NJ and Penn tri-state area only.

Please fill in the information below and mail your application with accompanying documents to the Foundation. Call or e-mail Grace Matthews, (858) 576-0397 or ringgoldfaith@aol.com  to request an application to be mailed or e-mailed to you.

Name in full (Surname in capitals)
Place of Birth  

Date of Birth
Sex  

Citizenship
Mailing Address
Street
City State
Postal Code Country
Home Address if other than above
Note: Home Address must be a Street Address. Do not leave blank.
Street
City State
Postal Code Country
Telephone Do not leave blank.

Fax  

Cell
Email address
Name, mailing address, and telephone
number of spouse or nearest relative
Name of spouse or nearest relative
Street
City State Zip
Degree
Terminal Degree and Year Issued
Name of Educational Institution
Employer Name and address
Employer Name Do not leave blank.
Street
City State Zip
Supervisor Name Telephone
Years Employed
Additional Information About the Applicant
Have you ever been arrested? If so - Why?
Which of the  featured artists do you plan to present in your slide lecture presentation and art-making workshop: Romare Bearden, Elizabeth Catlett, Aaron Douglas, or Jacob Lawrence? Why?
On a separate sheet use the following outline for a visit to a specified museum or art gallery in the winter of 2009/2010 to view the original works of Romare Bearden, Elizabeth Catlett, Aaron Douglas, or Jacob Lawrence. 

Include:
Motivation:
Performance Objective:
Standard:
Aim:
Materials:
Procedure:
Processing:
Assessment:
Enclose a list of images you will present in the gallery/museum visit.
After completing this form, print it out, sign and date it.

Signature:_______________________________

Send to:

Faith Ringgold

Art With kids Application

Anyone Can Fly Foundation

PO Box 8082

Englewood, NJ 07631