Saranac Lake Young Arts Association

APPLICATION for AWARD

Awards are recognitions usually in the form of a citation, plaque, etc. for excellence in the fine or performing arts. Awards may also be for one-time-only support for a special project.

Sponsor _________________________________________________________________________

Address _________________________________________________________________________

City_______________________________________________State_______ZIP_________________

Phone ________________________________ Email ______________________________________

Contact person ____________________________________________________________________

Phone ________________________________ Email ______________________________________

Title of award or Type of special project: _________________________________________________

_________________________________________________________________________________

Date of award ceremony or project deadline: ______________________________________________

Place ____________________________________________________________________________

Amount requested $ ______________for (be specific): ______________________________________

_________________________________________________________________________________

Candidate for Award ________________________________________________________________

Address _________________________________________________________________________

City_______________________________________________State_______ZIP_________________

Phone ________________________________ Email ______________________________________

Artistic accomplishment(s) of candidate: __________________________________________________

________________________________________________________________________________

OR Type of one-time-only request: _____________________________________________________

How does this award to this candidate support the SLYAA mission to support and nurture the arts among Saranac Lake school district youth? _____________________________________________________

________________________________________________________________________________

OR How does this one-time-only request support the SLYAA mission to support and nurture the arts among Saranac Lake school district youth? _______________________________________________

________________________________________________________________________________

Signature__________________________________________________________________________

Print Name ______________________________________________ Date _____________________

|| Home || Who We Are || Coming Events || Photo Gallery || Annual Phonathon || Financial Support || Contact || Donations ||
_______________________________________________

P.O. Box 1130 ~ Saranac Lake, NY 12983
Email: info@youngartsonline.org