Mentor’s Consultancy Report 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.

Name(Required)

First Last

Title or Occupation(Required)

Organization(Required)

Phone(Required)

Email(Required)

Address(Required)

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

Applicant Name

Applicant First Name Applicant Last Name

Dates of Consultancy(Required)

Expenses

Consultancy Fee(Required)

Public Transport (Specific)(Required)

Meals(Required)

Auto Miles(Required)

Mileage Reimbursement

Reimbursed at a rate of $0.655/mile

Lodging

Total cost of lodging. Daily rate x number of days spent

Grand Total

Please describe your consultancy and give a preliminary evaluation of its effectiveness. Let us know your thoughts on the Mentoring Program.

Mentor’s Consultancy Report Form

A Technical Assistance Program of New York Folklore

Expenses

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Publications

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