Individual Application
Dear Applicant:
New England Biolabs Foundation will be pleased to evaluate your request on the basis of the following data and supporting materials:
1. A cover letter stating for what specific purpose you require fund and in what amount. Please itemize. Please list your goals for this project and the ways you plan to attain them.
2. A minimum of two written professional references.
3. Any material relevant to the grant (pictures, tapes, media articles, etc.)
4. Curriculum Vitae.
5. The following financial information:
• Current annual income from all sources, taxable or tax-free, earned or received, for each of the last two years (broken down according to salaries, interest, rents, etc.);
• List of assets for the last two years. Please list professional (supplies and equipment) and non-professional supplies separately.
• Current annual professional expenses. Please itemize.
• Please indicate whether or not your spouse or other family members contribute to your income. If so, please specify the name, relationship and income or amount contributed to you.
• Monthly total rent or mortgage payments for your home and/or studio.
• Bank references. (names, addresses and telephone numbers.)
6. Other grants you have applied for or received in the last two years.

Further financial data may be requested, if necessary.
You may be assured that this information will be held in the strictest confidence.
Please include the following signed statement:

“I affirm that the information provided in this application is true and accurate to the best of my knowledge. I give permission to New England Biolabs Foundation to contact appropriate persons or organizations to verify or clarify information in this application.”

Signature

Date
 
 
 
Special Project
ARTCORPS
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