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2. Organization Name*
3. Main Contact*
5. Email Address*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Website
15. EIN #*
16. Requested Amount of Funds*
20. EVENT DETAILS
22. Event Name*
23. Event dates/times*
25. Festival/Event Description*
27. Location*
29. Is this an annual event?

    1. YES
    2. NO
30. Years in Existence
32. Has this event received a WCVB grant in the past? *
33. If yes, what amount was awarded?
35. Brief Description of How Funds Will Be Used*
36. Have all proper permits been obtained? If no, please explain.*
38. Is the event insured? Please provide list of insurance policy provider and policy number. *
40. Marketing/Action Plan*
42. Benefits*
46. Event Budget
48. Event Budget*
50. If you will be receiving other funding, please list.*
52. Coordination and Collaboration with Organizations & Events*
56. Would you or a representative be available to present your application to the board? *

    1. YES

    1. NO
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58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit Submit and Print

* indicates a required field