SECTION 1 | PERSONAL INFO
Section 1 asks you to provide basic info about yourself and how we can contact you.
Preferred Name, if different from above
* Birth Date
* Mailing Address
Best Way To Reach You
Please let us know the best way to contact you about grant-related questions.
Section 2 | Demographic Info
Please provide us with information about your economic and racial background.
How many people are in your household?
Please include yourself, those who are financially dependent on you and/or those whom you might be dependent upon. Please do not include co-op housemates, apartment mates, et al.
8 or more
Which best describes your total annual household income?
$0 - 6,499
$6,500 - $12,499
$12,500 - $19,999
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
If you are in-between employment or cannot easily determine your annual household income, please explain more here:
How do you identify ethnically?
Section 3 - Artist and Project Info
The CreateWell Fund aims to support artists' creation of original artwork that honors one’s authentic artistry.
This refers to artwork whose primary intent is non-commercial--a work of personal vision and value that an artist is otherwise unable to pursue, due to financial or well-being concerns or barriers. (Examples of proposals that will not be considered: the post-production phase of a project, arts festivals, educational programs, or operating costs for nonprofit art programming.)
Please provide a description of your artistic vision, purpose and process.
Please describe the artistic work you seek funding for. Please describe the concept and intent of the work. Include as much detail about the pre-planning or planning process as you can.
What is your goal for publishing/exhibiting/performing the proposed art work once completed?
Section 4 | Wellness Goal
The CreateWell Fund believes the care of an artist's mental, emotional and physical health is as valuable as the pursuit of their artistic passion.
Our ideal candidates will demonstrate an earnest need and commitment to using grant funds to achieve both the artistic and wellness goals they propose.
CONFIDENTIALITY STATEMENT: Any personal information about your health that you choose to provide below will be kept confidential and will not be used against you in the application review process. We use this information only to get a more holistic picture of who you are.
What is the wellness goal you would like to support with funding?
Please share one or more wellness goals you would like to receive funding support for. An appropriate wellness goal will be realistic and achievable within the grant term. Examples of appropriate wellness goals include: purchasing and eating more homemade wheat-free food due to a severe wheat allergy or going to physical therapy due to a recent or chronic injury. While we support all wellness practices, please do not include those wellness goals that do not require funding from the grant in your response.
Your Wellness Plan
In your wellness plan, please explain 1) the incremental steps or processes you will take to work on your wellness goal within your grant term, and 2) your plan for documenting your progress.
What is your outlook on wellness? How do you practice care for your well-being now?
Would you be interested in documenting your progress to share publicly?
I'd like to prefer to decide later
Section 5 | All About the Money
Select the amount range you plan to spend in each category of expenses below.
Stipends for self, assistant(s), and/or collaborator(s).
Wellness Services or Supports
Please choose the length of your artistic project, during which you will use the funds you receive. Choose the term closest to the actual time you anticipate needing, i.e. select "6 months" for a five-month project.
Digital portfolio can be emailed to email@example.com with "APPLICANT NAME_PORTFOLIO" in the Subject line.
Non-digital portfolios can be mailed to: CreateWell Fund, P.O. Box, E Longmeadow, MA 01028. Postmarked by deadline.
I understand that I need to submit at least three portfolio pieces, following the above instructions, for my application to be considered complete.
How did you learn about this grant opportunity?
Friend or Family
Word of Mouth
Additional Comments (Optional)
If you have additional comments to you would like to add, please fill them in below.