Art for Impact Grant

Application Form - Phillips Art + Design

Thank you for your interest in the Phillips Art + Design Community Mural Grant. Please complete the application below with as much detail as possible.

We encourage thoughtful responses that help us understand your organization, your community and your vision for the mural.

Please Note: This Grant is only eligible for Not for profits/charities within the GTA or within roughly 60km radius from Burlington, ON.

1) Organization Information

Organization Name:

Registered Status:

Registered Not-for-Profit

Registered Charity

Year Established:

Full Name

Title/Role

Email

Phone

Website:

Social Media:

Organization Address:

2) Mission & Community Impact

Briefly describe your Organization's mission and the community you serve. (150-300 words)

Who benefits most from your work?

3) Why a Mural?

Why are you interested in having a mural created in your space? (What role could art play in your organization or community?)

If selected, how would you share or celebrate the mural with your community?

4) Proposed Mural Location

Address of the Proposed mural site: (If address if undisclosable for safety or privacy reasons please include only the city.)

Approximate wall dimensions:

Wall surface type:

Current condition of the wall:

Excellent

Good

Fair

Required Preparation

Do you have written permission from the property owner to install a mural?

Yes

In Progress

Not yet

Please upload photos of the wall and surrounding space.

5) Feasibility & Resources

Does your organization have funding allocated for a mural?

No

Limited

Yes (Please explain)

If "Yes" to previous question

If selected, would your organization be able to contribute to any of the following? (Check all that apply)

Wall preparation (cleaning, Patching, Priming)

Access to the space during agreed timelines

Coverage of some material costs (If required)

Promotion of the completed mural

Please explain any constraints or considerations we should be aware of:

6) Vision & Storytelling

What themes, Stories, or values would you hope the mural could reflect?

7) Alignment & Expectations

Why do you feel your organization is a strong fit for Art for Impact Grant?

If your organization is not selected this year, would you still be interested in discussing a funded mural project in the future?

Yes

Maybe

No

Would you like to receive occasional updates from Phillips Art + Design about mural projects and opportunities?

Yes, please keep us informed

No, thank you

8) Additional Information

Is there anything else you would like us to know about your organization, community, or space?

9) Declaration

By submitting this application, we confirm that the information provided is accurate and that we have permission to propose the listed wall as a potential mural site. (Include: Full Name, Date)

How did you hear about us?

Friends

Social Media

Website

Other