Arts Connection Survey 2025 Pickens Arts and Cultural Alliance Grant Application Name Of Organization * Address * City * Zip Code * Email * Phone Number * (If applicable) Provide EIN Number Number of Volunteers Point of Contact and Direct Contact Information * Officer Names/and or Board Members Mission Statement Requested Grant Amount (Maximum grant award $2000) * Why are you applying for this grant? What project or initiative will it help fund? * Describe how this grant will be used to resolve the stated problem, reason, or situation. * Have you received previous PACA grants? * Yes No If yes, provide the amount of the grant, date, and reason for that grant; and if there are funds un-spent from this grant. List existing and other potential funding sources for this stated need. Does your organization or group hold a 501c (3) status, or other 501 status? Yes No If yes, please include the first page of IRS response. Drop a file here or click to upload Choose File Maximum file size: 516MB Does your organization or group require or need commitment or approval from another group, organization, or governing body to submit for or receive this grant? * No Yes Attach a copy of the current year’s budget for the organization. Drop a file here or click to upload Choose File Maximum file size: 516MB Attach a copy of the budget proposed for this grant usage. * Drop a file here or click to upload Choose File Maximum file size: 516MB Submit If you are human, leave this field blank.