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APPLICATION
No Saving Ability on Application Form
Consult the
Application Guide for Instructions and Information
Co
Point of Contact Information
Organizational Authority
General Information
Applicant 501c(3) Designation
Financial Statements
Tax Return
Organizational Sustainability
Provide the following key financial performance indicators based on numbers from audited or year-end financial statements for the same year:
Current Ratio (liquidity) – calculation: unrestricted current assets/current liabilities.
Program Expense Ratio (efficiency) – calculation: program expenses/total expenses
Revenue Concentration Ratio (vulnerability) – calculation: revenue from single largest source/total revenue
Letter of Recommendation
Project Summary
In 500 words or less, provide an overview of the program/project and its strategic objective(s).
Impact Statement
In 800 words or less, describe how the organization or individual made a critical difference in improving cultural life and/or significantly aiding the growth and availability of the arts in the United States during the past year. Please include: 1) Breadth of impact, including qualitative/quantitative data 2) Collaboration among partners 3) Other relevant data, if applicable (e.g., target demographic, milestones, objectives, results, etc.)
Uploads
(Max 15MB each)
Recommendation Letter
Third party community member/organization who's benefited from the applicant’s work
IRS Determination Letter
Affirmation Letter also accepted
Tax Return (990 or 990-EZ)
Please provide from same year as audit/financial statements submitted
Other
Optional additional materials
Financial Statements
Please provide from same year as tax return submitted
Links to Additional Content
Please provide a PDF with links to additional content
Submit
An email confirmation will be sent!
You will receive confirmation via email that your application has been submitted. If you do not receive this confirmation within 24 hours please reach out to
contact@chapmanprize.org
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