New York Folklore Society MENTORING AND PROFESSIONAL DEVELOPMENT FOR FOLKLIFE AND THE TRADITIONAL ARTS APPLICATION

DATE____________ APPLICANT MENTOR* (or Professional Exchange Partner) Name ______________________________| ______________________________| Title or Occupation ______________________________| ______________________________| Organization ______________________________| ______________________________| Address ______________________________| ______________________________| City/State/Zip ______________________________| ______________________________| Work Ph./Fax ________________/______________| ________________/______________| Home Ph. ______________________________| ______________________________| E-mail ______________________________| ______________________________| SS # ______________________________| *Please include resume or bio of mentor. Check first with NYFS in case we have resume on file already. ************************************************************************** 1) HAVE YOU RECEIVED A GRANT FROM THE NEW YORK STATE COUNCIL ON THE ARTS FOR THIS PROJECT?           [] YES           [] NO 2) WHEN DO YOU EXPECT TO MEET WITH THE MENTOR? ___________________________________ 3) FOR WHICH COMPONENT OF THE PROGRAM ARE YOU APPLYING? [] SHORT-TERM CONSULTANCY [] FOLK ARTS MENTORING [] ONGOING CONSULTANCY [] PROFESSIONAL DEVELOPMENT EXCHANGE ANSWER THE QUESTIONS 4-6 ON A SEPARATE SHEET OF PAPER. 4) PLEASE DESCRIBE THE PROPOSED CONSULTANCY: Explain briefly why you need the mentor’s assistance or the professional development exchange, what you hope to learn, how the project will help you with your folklife and traditional arts programs. We need details of how the consultancy or exchange will be carried out (how often you plan to meet and how you plan to use each meeting, including a detailed daily work plan for the consultancy or exchange based on the proposed timeline). Remember that we cannot fund public workshops, programs, materials, or provide funds for the mentor to actually "do the work." This is a technical assistance program. 5) []  QUICK RESPONSE: IF YOU NEED A QUICK RESPONSE (NORMAL TURNAROUND IS WITHIN SIX WEEKS), PLEASE CHECK HERE AND ATTACH A SHORT EXPLANATION. 6) WHO WILL BENEFIT DIRECTLY FROM THIS PROJECT? WILL THERE BE LONG-TERM EFFECTS? BUDGET: Please list your estimates of only those costs (travel and consulting fees) that are eligible for reimbursement.

Consulting fee (to be paid directly to the Mentor)	$ __________
Public Transportation (specify ____________	$ __________
Auto Mileage: _______ miles $0.36/mi.	$ __________
Meals	$ __________
Lodging: ______ nights @ $ _______/night	$ __________
TOTAL	$ __________