Mentoring and Professional Development Application Form

A Technical Assistance Program of New York Folklore

The Mentoring Program for Folklife and Traditional Arts is made possible with funds from the Folk Arts Program of the New York State Council on the Arts.

Have questions or need more information? Please contact New York Folklore.

Applicant Information

Name(Required)

First Last

Title or Occupation(Required)

Organization(Required)

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mentor Information

Name(Required)

First Last

Title or Occuation(Required)

Organization(Required)

Email(Required)

Phone(Required)

File(Required)

Max. file size: 50 MB.

Have you received a grant from the New York Saate Council on the arts for this project?(Required)

Yes

For which component of the program are you applying?(Required)

When do you expect to meet with the mentor?(Required)

Please describe the proposed consultancy.(Required)

Explain briefly why you need the mentor’s assistance or the professional development exchange, what you hope to learn, and how the project will help you with your folklife and traditional arts programs. We need details of how the consultancy or exchange will be carried out (how often you plan to meet and how you plan to use each meeting, including a detailed work plan for the consultancy or exchange based on the proposed timeline). Remember that we cannot fund public workshops, programs, materials, or provide funds for the mentor to actually “do the work”. This is a technical assistance program.

Quick Response

Yes

If you need a quick response (normal turnaround is within six weeks), select this option.

Reason for Quick Response

Please explain the reason a quick response is needed.

Who will benefit directly from this program? Will there be long term benefits?(Required)

Budget

Please list your estimates of only those costs (travel and consulting fees) that are eligible for reimbursement).

Consulting Fee(Required)

Please enter a number from 1 to 10000.

To be paid directly to the mentor.

Public Transportation (Specific)(Required)

Auto Mileage(Required)

How many miles do you anticipate needing reimbursed on miles put on your vehicle?

Mileage Reimbursement @ $0.655/mile

Number of Lodging Nights(Required)

Lodging Total

Lodging rate/night

Grand Total

Mentoring and Professional Development Application Form

A Technical Assistance Program of New York Folklore

Applicant Information

Mentor Information

Budget

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