Organization NameOrganization Website Is the organization a registered 501c3 Non-Profit?YesNoOrganization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Contact Person Name First Last Contact Person Email Contact Person PhoneWhy type of community engagement is the organization interested in? Community Program/Event at Your Site Community Program/Event at Our Site (Albany Barn, Electric City Barn, or Artistry Studios) Hiring an Artist for Your New Program Hiring an Artist for Your Existing Program Art KitsThis is how the organization hopes to work with Albany Barn, Inc.Demographic to be Served Families- Kids with Adult Supervision Kids under 13 Teens 13-17 Adults 18+ EveryoneNumber of People to be Served0-2526-5051-100101+UnsureBudget$0.00- $500.00$501.00- $750.00$751.00- $1000.00$1000.00+This is the expected budget to be spent on the Community Engagement from Albany Barn, Inc.Where does the funding for this program come from? It's in our Organizational Budget. Unsure/Unknown- I am hoping to secure funding. I have a sponsorship secured for this program. I expect this program to make money. OtherSpecific Art Category in Mind Painting & Drawing Paper Crafts Music, Dance, Poetry & Performing Arts Sewing & Fiber Arts Jewelry & Metalworking Woodworking Decorative Arts Giftable Arts Holiday & Season Specific Company Brand Specific Any & All Types of Art Unsure, I don't know.If you have a specific artist in mind, please list their name here.Do you have an idea in mind?Please describe your idea with details like art type, ways the collaboration can occur. Please add any websites to idea examples as well.Do you have a specific date/time in mind for program?This could be the program/event date, the date the program can be completed by, or the deliverable date for art kits.If this is an event, is a venue secured?YesUnknown/UnsureNoThis is not an event.Please include any additional contacts (name & email) we should reach out to when responding to this form.These could be decision makers, key stakeholders, or additional staff/volunteers.Δ
