Community Resource Center: NPower Colorado

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Colorado Council on the Arts: Scholarships

CCA Capacity Building Scholarship Application Form

A: Applicant Information

First Name:*

Last Name:*

Organization Name:*

Organization Arts Discipline:*

To view the appropriate NEA code for your arts discipline please visit Colorado Council on the Arts and scroll down to section IV.
(For example, Modern Dance = 01C)

Address::*

City:*

State:*

Zip:*

County:*

Phone:*

E-Mail:*

Your elected officials have made funding for this scholarship available. Please identify them so that we may thank them for their support: (to find your elected officials go to www.vote-smart.org). Please use your home zip+4 to enter this information.

U.S. House Congressional District # and U.S. House Representative Name: *

CO Senate District # and CO Senator Name:*

CO House District # and CO Representative Name: *

B. Training Workshop Information
You may apply for a scholarship for a workshop not listed under the Upcoming Workshops page as long as the workshop will help you or your organization to achieve financial sustainability or build organizational capacity.

Topic of Training Workshop:*

Organization Offering Workshop:*

Workshop Location:*

Workshop Date: *

Workshop Cost: *

Please do not enter any symbols

One-way mileage to workshop:

Lodging costs (if over 200 miles one-way):

How will this workshop help you or your organization to achieve financial sustainability and build organizational capacity? *

Please read the text in the image opposite, then type that text into the box below. You are asked to do this in order to verify that this registration is not being performed by an automated process.

*required fields

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