Max’s Kansas City Project Grant Application

“We All Need A Band-Aid Sometimes in Our Lives”

P.O. Box 53
Woodstock, NY 12498
Phone:
Fax: 845-679-2593
E-mail: [email protected]
Website: maxskansascity.org

 Mission:

Max’s Emergency Relief & Resource Fund is a one time only, $500.00 grant ($1,000 when funds
are available) to assist only self employed artists who have a steady work history, but who are
experiencing a temporary financial set back. MKC assistance is designed to resolve this short term
crisis, whatever it may be, and the applicant will again gain employment in the near future.
Individuals seeking assistance must be residents of New York State. Exceptions are made in some
cases if applicant is affiliated with Max’s Kansas City. Applicants whose arrears are so serious that
assistance will not allow them relief from their difficulties are not eligible for assistance. Please be
specific as to what bill the grant is needed for. Grants of financial assistance do not go to the
applicant. Payment goes directly to creditor/third party. Please note, although MKC Emergency
Grant does cover medical bills, it does not cover psychotherapy costs unless the psychotherapist is
an MD. MKC only covers housing, medical and legal aid.

*Incomplete grant applications will not be considered

To be included with application:

1) A letter written by the applicant explaining specifically why assistance is needed and why

the applicant cannot solve this problem without aid from MKC

2) 5-10 work samples. Copies of artworks if applicant is a visual artist, published clippings if

applicant is a writer, a CD/DVD if applicant is a composer or performer

3) Copies of awards, reviews, etc. will be strongly considered

4) A list of 3 names with physical addresses and telephone #s, no emails, of individuals MKC

can contact as character references on your behalf

5) 1 recent letter of referral from a colleague or patron in your field who has known you for

three years and who knows your work intimately

6) The following financial information must be submitted and labeled as such clearly in the top
right corner of each page. Do not send originals.

Send copies of the following:

•  Most recent tax return including schedule C if you are a freelancer
• 1 current bank statement including account number, and balance
• 1 current rent or mortgage statement from landlord or bank
• 1 most recent utility bill
• 1 most recent phone bill
• 1 copy of any current loan statements
• 1 copy of most recent credit or debit card statement

The following income verification is required. Attach all that apply:

• 3 recent copies of invoices to arts clients
• 1 NYSDOL unemployment award letter
• 1 most recent pay stub ; indicate clearly on pay stub if this is a “day job” that helps
  further your work or an arts job in your field
• 1 most recent copy of social security, worker’s compensation, pensions, tax dividends,
  rental income, lottery winnings, stocks, bonds, military benefits, child support, or any
  other benefits

If you are selected as an awardee:

1) Visual artists may be asked to donate one sellable, signed piece for possible fundraising use

2) Non visual art disciplines, if selected, will need to provide an paragraph of intent explaining
how their expertise can support the MKC mission

3) Grant recipients may be asked to provide a written testimonial for promotional use