ÿþ<html><head> <title>mediaThe foundation inc. Submission form for Art Projects: Performance</title> <meta name="description" content="mediaThe foundation for the arts, humanity and the environment"> <meta name="keywords" content="foundation, art foundations, environment, alternative energy, media arts, video, art, video art, new media, performance art, installation art, USA art scene, American artists, underground art, alternative art, avantgard art, Joe Walker, Joseph Walker, Nancy Meli Walker, Nancy Walker, Brooklyn, New York City, America"> </head> <body BGCOLOR="white"> <center> <table BORDER=0 CELLSPACING=20 CELLPADDING=10 width=100%> <br> <TR> <TD ALIGN=CENTER bgcolor="#494B3F"><img border=0 102 Src="/images/mediaThe.gif"> </TD> </TR> <TR> <td ALIGN=LEFT> <PRE> <font color="Black" FACE=Arial> <h3><U>How to Apply</U></h3> <UL TYPE=DISC><LI><B>Copy and paste form below into an email to mediaThe foundation inc. <A HREF="MAILTO:mediathe@yahoo.com"><img border=0 102 Src="/images/contact.gif"></a> <LI>Fill out submission form. <LI>Put your organization's name and name of the performance in the subject line of the email. <LI>email the form.</B> </UL> <I> ONLY EMAIL APPLICATIONS WILL BE ACCEPTED. DO NOT MAIL ANYTHING. IF WE REQUIRE FURTHER SUPPORT MATERIAL WE WILL CONTACT YOU.</I> ______________________________________________________________________________________ <font FACE="Arial" color="black"> <h3><u>Not-for-Profit Art Organization Submission Form - PERFORMANCE</u></h3> Name of Organization [name that should appear on the check]: Is your organization a 501c3 Not-for-Profit Art Organization: [yes, no]: Contact Person @ art organization: email: Do you want your email made public? This is good idea if you want the public to contact you [yes, no]: Web site: Mail Address: Telephone: Cell Telephone: Fax: Grant Amount: What percent of the grant goes to the artist vs. administration: How did you find out about mediaThe foundation inc.?: Bio/Resume of art organization [2-3 paragraphs to 1 page]: <U><B>Name of the Performance or Series:</B></U> <U><B>Description of the Performance or Series [2-3 paragraphs to 1 page].</B></U> <U><B>Performance Venue</U></B> <I>Please fill out the following information for each venue if appropriate.</I> Performance Venue: Web site: Contact Person: email: Mail Address: Telephone: Fax: Date and Time of performance: <B><U>Artists</B></U> <I>Please fill out the following for each artist involved in the project.</I></B> Name: email: Do you want your email made public, this is good idea if you want the public to contact you [yes, no]: Web site: Mail Address: Telephone: Cell Telephone: Fax: Dollar amount artist will receive from the grant: Performance Instrument and/or role in the production: Bio/Resume [2-3 paragraphs to 1 page]: </tr> </table> <table BORDER=0 CELLPADDING=10 CELLSPACING=0> <a HREF="/html/who.html"><img border=0 102 Src="/images/who.gif"></a> <a HREF="/html/archive.html"><img border=0 102 Src="/images/archive.gif"></a> <A HREF="MAILTO:mediathe@yahoo.com"><img border=0 102 Src="/images/contact.gif"></a> <a HREF="/html/links.html"><img border=0 102 Src="/images/links.gif"></a> </table> </center> </body> </html>