Co-Op Press Commission Assistance Grant Program Application (please type or print legibly) Contact information regarding the person completing the application: Name: Street Address: City, State, and Zip Code: Phone Number: E-mail address: Information regarding the musical group applying (if the same as above, just indicate "same"): Name of organization for large performing group or names of individuals for small performing groups: Director's name (if applicable): Street Address: City, State, and Zip Code: Phone Number: E-mail address: URL for organization or individuals (if applicable): Level of development (check one): __elementary __junior high/middle school __high school __undergraduate __graduate __professional __amateur Please include a paragraph or two describing the location of recent performances, type of programming included, audience size, and any other information that would illuminate the accomplishments of the performers: Please include a paragraph or two that describes the interaction that will take place between the composer and the performers, cummunity members and/or students: Please describe why commissioning a new piece of music is important to you and/or your organization Information regarding the proposed commissioned work (be as specific as possible): Date and Time of Performance (no sooner than 6 months and no later than 18 months from the application deadline): Place of Performance: Seating Capacity of Venue: Anticipated Audience: Anticipated Publicity: Anticipated Recording: __Analog __ Digital Possible additional performances of commissioned work (indicated date, location, and anticipated audience size): Length of Commissioned Work Desired: Instrumentation of Commissioned Work: Other Descriptive Aspects of the Piece Desired (special event, theme, style, targeted audience, etc): If a residency is desired, please indicate the source of funding for covering travel expenses: I have read the guidelines regarding this grant proposal and agree to abide by these guidelines. The information provided in this application is correct to the best of my knowledge. __________________________________________ _________ Signature of person completing application date If applicant is under 18, the signature of a parent or guardian is required. __________________________________________ _________ Signature of parent or guardian date If applicant is a student, the signature of the music teacher that will be over-seeing the work on this project is required. I have read the guidelines regarding this grant proposal and my student's application and agree to assist my student in the preparation of the music and in arranging the interaction. __________________________________________ _________ Signature of music teacher date Final Instructions: A recording (cassette or CD) of the performers must be included with this application. Mail the completed application along with the recording to: Co-op Press P.O. Box 204 Wrightsville, PA 17368-0204