Eugene Lang Memorial Bursary Application

Deadline for application: January 31

Award presentation: March

Please complete the following application form and submit it online.

QAC Membership*
- Yes, I am a member of the Quinte Arts Council
Location*
- We are a school or classroom within Hastings and Prince Edward counties.
Contact Name
First Last
Group / School Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
A brief but detailed description of the project
Or, upload your project description
A project budget outline
Or, upload your project budget
A follow-up evaluation / report plan
Or, upload your follow-up evaluation / report plan
Confirmation*
- Please accept this form as my official application.

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