ÿþ<html><head> <title>mediaThe foundation inc. Submission form for Environmental Projects</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 project 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 Environmental Organization Submission Form</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 @ environmental 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 towards the issue vs. administration: How did you find out about mediaThe foundation inc.?: Bio/Resume of environmental organization [2-3 paragraphs to 1 page]: <U><B>Name of the Project:</B></U> <U><B>Description of the Project [2-3 paragraphs to 1 page].</U></B> <I>Please include:</I> <UL TYPE=DISC><LI>Description of work. <LI>Expected completion date. <LI>Budget - total budget and other grantors information [name and amount].</UL> <B><U>Personal involved in the project.</B></U> <I>Please fill out the following for each person 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: Job: Bio/Resume [2-3 paragraphs to 1 page]: </TD> </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>