Fiscal Sponsorship Application

Alternate ROOTS appreciates your interest in applying for fiscal sponsorship. We will review all applications carefully, but please note that we cannot accept all applications.

Alternate ROOTS is an organization based in the Southern USA* whose mission is to support the creation and presentation of original art, in all its forms, which is rooted in a particular community of place, tradition or spirit. As a coalition of cultural workers we strive to be allies in the elimination of all forms of oppression. ROOTS is committed to social and economic justice and the protection of the natural world and addresses these concerns through its programs and services.

(*Alternate ROOTS' service region consists of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, South Carolina, Tennessee, Texas, Virginia, West Virginia, and Washington, D.C.)

Note: If you are having trouble filling out the online form, please download the form attached below and email it to cecille@alternateroots.org.

Name/Organization Name: *

Application Contact Person: *

Email: *

Phone: *

Website: *

Street Address/PO Box: *

City: *

State: *

Zip: *

Country: *

Other artists involved in the project:

Please describe your project in 200 words or less: *

How does your project support and relate to the membership of Alternate ROOTS?: *

Please provide a personal and/or artistic mission statement: *

Are you a member of Alternate ROOTS? Are your membership dues currently paid in full?: *

If you are not a member, how did you find out about Alternate ROOTS? Is there a ROOTS member who will write a letter of support?: *

How will Alternate ROOTS be acknowledged in the promotion and documentation of your project?: *

Please give an estimate of the number of financial transactions related to your project over the course of the next 12 months (deposits, donations, checks distributed, etc.): *

Is there anything else we should know about you or your project?: *

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Attachment	Size
Alternate ROOTS Fiscal Sponsorship Application.doc	102 KB

Alternate ROOTS

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Fiscal Sponsorship Application

Alternate ROOTS appreciates your interest in applying for fiscal sponsorship. We will review all applications carefully, but please note that we cannot accept all applications.