HomeMy WebLinkAboutResources Scholarship Application designedVENUES PARKS & ARTS
RESOURCES/SCHOLARSHIP APPLICATION
APPLICANT & EVENT INFORMATION
This application is to request the use of certain resources from VPA. Not all requests are guaranteed to be granted and scholarships will be made available primarily for events that
help positively influence our impact drivers. A VPA staff member will respond to your application within five business days of submission. If applicable, please submit the request at
the time of your original special event application.
Date: ________________________________ Event Date: ________________________________
Event Name: ________________________________________________________ Location: _________________________________
Organization: ____________________________________________________________________________________________________
Is this a registered non-profit? □ Yes □ No If yes, what is the non-profit ID? ___________________________________
Applicant (Contact) Name: _______________________________________________________________________________________
Applicant (Contact) Phone: ____________________________________________
E-Mail: ______________________________________________________________
Address: __________________________________________ City/State/Zip: _______________________________________________
What is the mission of your organization? _________________________________________________________________________
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How would in-kind resources from Venues Parks & Arts positively influence Venues Parks & Arts impact drivers (Social Equity, Health & Wellness, or Ecological Integrity)? _____________________________
______________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
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Please indicate which items you are requesting:
Reduced Park Usage Fee
Rock Climbing Wall - $250
Stage (12'x24' - 24'x32') - $500
Red Spinning Chairs - $50
Gray Picnic Tables - $125
Gray Benches - $125
SUBMIT THIS APPLICATION TO:
South Bend Venues Parks & Arts | parkrental@southbendin.gov | 321 E. Walter St., South Bend, IN 46614