Grant Application to Impact Oklahoma

Page 1

Impact Oklahoma 2017-2018 Grant Application Form 15 PAGES MAXIMIUM FOR ALL RESPONSES CONTACT INFORMATION FOR APPLICANT ORGANIZATION

[Artspace] at UNTITLED

Untitled Art Space, Inc.

_____________________________________________________________________________________________ Name of Organization Legal Name

1 NE 3rd St.

Oklahoma City

OK

73104

_____________________________________________________________________________________________ Street Address City State Zip _____________________________________________________________________________________________ Mailing Address, if different

405-815-9995

405-232-9995

www.1ne3.org

_____________________________________________________________________________________________ Phone Fax Web Site Address

Laura Warriner

405-834-6086

laura@1ne3.org

_____________________________________________________________________________________________ Executive Director of Organization Phone Email

Jessica Williams

Development Coordinator

405-815-9995 development@1ne3.org

_____________________________________________________________________________________________ Contact Person Title Phone Email for Grant Application

PROJECT IDENTIFICATION INFORMATION Project Title: Mentorship Program Expansion Project Project Summary:

To expand the 3-year educational Mentorship Program to more Oklahoma school groups, [Artspace] at UNTITLED seeks $100,000 in grant support from Impact Oklahoma. This grant would fulfill our major program goals: increasing participating student numbers, adding and renewing supplies, equipment and technologies, providing monthly mentors, and creating annual summer camp programming.

Focus Area Designated in LOI: Health & Wellness____ Community_____ Education X

Culture_____

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Impact Oklahoma

P.O. Box 20149

Oklahoma City, OK 73156


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