Name:_____________________________________________________   SS#:_______________________

Street address:______________________________________________   County:_____________________ 

________________________________________________________________________________________
                City                                                                        State                                   Zip 

Phone:___________________________________

Fax:_____________________________________

E-mail:___________________________________
 

Please attach a resume and the names, addresses, phone numbers and/or e-mail addresses of three references.
 

DESCRIPTION OF THE PROPOSED PROJECT: In the space below briefly describe what you plan to do, when, where and how you plan to do it. Please include specifics on how funds will be used and how the project will impact the art of dance in your Tennessee community.
 
 
 
 
 
 
 
 

BUDGET 
(TAD funds awarded for FY2008 must be expended on programs or projects occurring between May 30, 2008 and April 2, 2009.)
 

Amount of money requested ($500 maximum): ____________________________________
 

Itemized actual or estimated costs directly associated with the project: Please include all expenditures for the project, indicating funds that represent additional financial commitment to the project from your personal finances or another source (such as your employer). 
 
 
 
 
 

FUTURE PROFESSIONAL PLANS: In the space below briefly describe where you hope your career will go in the next five years. Tell us how your goals will impact dance in Tennessee.
 
 
 
 
 
 
 
 

Signature:_______________________________________________

Date:___________________________________________________
 

Four copies of the completed application packet must be received by February 28, 2008. TAD is NOT responsible for packets lost or delayed in the mail. Send to:

TENNESSEE ASSOCIATION OF DANCE, PO BOX 4368, Chattanooga, TN 37405