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MENTORING AND PROFESSIONAL DEVELOPMENT
FOR FOLKLIFE AND THE TRADITIONAL ARTS

A Technical Assistance Program of the
New York Folklore Society

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 attach a 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?

          Checkbox YES

          Checkbox NO


2) WHEN DO YOU EXPECT TO MEET WITH THE MENTOR? _______________________________________________________________

3) FOR WHICH COMPONENT OF THE PROGRAM ARE YOU APPLYING?
Checkbox SHORT-TERM CONSULTANCY
Checkbox FOLK ARTS MENTORING
Checkbox ONGOING CONSULTANCY
Checkbox 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) Checkbox  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?



Continued on Page 2







New York Folklore Society Mentoring Program Application
Page 2

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

$ __________



Please return application to:
NEW YORK FOLKLORE SOCIETY
129 Jay Street
Schenectady, NY 12305

OR FAX TO 518/346-6617


Questions? Call 518/346-7008



© 2013, 2012-1998 New York Folklore Society