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pdfOMB No. 3135-0140
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Creative Forces Supplemental Form
Applicants to the Creative Forces Grant Program are required to complete both and application
form and the following supplemental application form. Applications are considered incomplete
unless and until both the application form and the supplemental application form have been
submitted online by the designated application deadline. An answer of "no" or "not applicable"
does not preclude the application from consideration for funding.
Applicant Organization Legal Name
1. Identify the project’s primary intended organizational outcome. (select one)
• Networked Organization: Grantees build networks and partnerships that support the
design, implementation, and evaluation of programs for participants leading to stronger
outcomes for participants.
• Strengthened Capacity: Grantees build their capacity to design, implement, and
evaluate programs that meet the needs of participants.
• Increased Value of the Arts: Grantee partnerships and activities lead to an increased
understanding of the value and impact of the arts across local participating networks
and communities.
• Other
If you answered “Other” for #1, tell us more.
2. Identify the project’s intended organizational outcome for your organizational partners.
(select all that apply for each organizational partner) Note: Organizational Partners will prepopulate.
• Networked Organization: Grantees build networks and partnerships that support the
design, implementation, and evaluation of programs for participants leading to stronger
outcomes for participants.
• Strengthened Capacity: Grantees build their capacity to design, implement, and
evaluate programs that meet the needs of participants.
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Increased Value of the Arts: Grantee partnerships and activities lead to an increased
understanding of the value and impact of the arts across local participating networks
and communities.
Other
If you answered “Other” for #2, tell us more.
3. Identify the service delivery model. (select all that apply)
• Ongoing class/other ongoing engagement: A class group, and/or ensemble that meets
regularly for a distinct time period.
• Ongoing drop-in program: Ongoing, drop-in programs, such as an open-studio, where
participation may or may not be consistent.
• Single event: Single event, such as a workshop, exhibition, or café, where individuals
participate one time.
• Participant cohort performance: Participant exhibition or performance to showcase
their work.
• Passive art engagement: Participants attend a performance, exhibition, etc.
• Community Building: Outreach within a community at large, targeting community
members with a goal of improving connections between civilian and military-connected
populations
• Networking: Build organizational connections/networks to serve military connected
populations
4. Identify the key implementation strategies for participant engagement. (select all that apply)
• Personalized connections: Participants make formal and informal connections with
other participants.
• A participant cohort: Participants work together consistently for a pre-determined time
period
• Participant leadership: Participants take on additional responsibilities/leadership roles
(e.g., teaching a class, mentoring other participants)
• Therapeutic support: A therapist or other support is available to provide support. This
may take various forms, such as onsite presence during the activity, on-call resource, or
consulting on a concrete plan if concerns arise.
• Continuous, cohesive programming: Programming is ongoing, allowing participants to
continue to develop their skills.
• Other
If you answered “Other” for #4, tell us more.
5. Who are the intended beneficiaries/participants in the project? (select all that apply)
• Service Member: Active Duty
• Service Member: National Guard/Reserve
• Veteran
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Family Unit
Spouse/Partner
Children (Age 0-18)
Caregiver: Residential
Caregiver: Clinical
6. Creative Forces Community Engagement Grant Program projects should engage targeted
military-connected individuals through experiences of art or art-making with one or more of the
following participant outcomes in mind. What is the intended outcome for:
Select all that apply for each type of intended beneficiary/participant that will be engaged by
your project. If a beneficiary/participant type will not be engaged by your project, select "Not
Applicable".
The Service Member: Active Duty? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
The Service Member: National Guard/Reserve? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
The Veteran? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
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Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
Not Applicable
The Family Unit? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
The Spouse/Partner? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
The Children (Age 0-18) (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
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The Caregiver: Residential? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
The Caregiver: Clinical? (select all that apply)
• Creative expression: Participants have a better understanding of themselves and others
by creating or engaging with art.
• Social connectedness: Participants have supportive relationships in their life and a sense
of belonging to a community.
• Resilience: Participants feel they can rebound from stress, unexpected events, or life’s
challenges.
• Independence and successful adaptation to civilian life: Participants have both an
individual and shared sense of purpose, as well a positive self-worth, that support
adapting and readjusting to civilian life.
• Not Applicable
7. Why were these beneficiaries/participants selected and what, if any, need does this project
address on their behalf? (500-word limit)
8. Do you have a formal outreach/recruitment plan? (dropdown: yes/no)
9. How will these participants be recruited to participate in the project? (500-word limit)
10. Do you have research evidence to support program design and/or evidence of a local
community need (e.g., local needs assessment)? (Example: local needs assessment, academic
literature review, research studies) (dropdown: yes/no)
11. What specific research evidence supports program design and/or what local community
needs does your project address? List the top two.
12. Are there arts-and-military programs available in the project’s service area?
(dropdown: yes/no/don’t know)
If you answered “Yes” for #12, describe those programs and resources. (500 words)
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13. Identify the extent to which a referral/recommendation process is in place between your
organization and clinics, hospitals, and/or community arts organizations. (dropdown: does not
exist, in development, exists)
14. Indicate whether your staff or organization has participated previously in training or other
experiences that intended to develop an understanding of military culture. (dropdown: no/have
plans in place/yes)
15. Indicate whether your organization or project partners have had training or direct
experience that has increased their understanding of the value of the arts for organizations
serving their community or military-connected populations. (dropdown: no/have plans in
place/yes)
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File Type | application/pdf |
File Title | Proposal for .Graduation Success and Equity Initiative .RFP NO. 2016-04 |
Subject | Prepared for the.Office of Superintendent of Public Instruction..March 2016 |
Author | Shawn Bachtler |
File Modified | 2021-10-06 |
File Created | 2021-10-06 |