Request for Contract Proposals

2013-2014 VSA Arts Connect All–Workshop/Residency for Students with Disabilities

CONTRACT PROPOSAL FORM

*Boxes on form will expand to fit text length*

General Information
Name of Organization
Legal Name of Organization, if different from above
Mailing address
Physical address, if different from above
Website
Primary Contact
Name and title
Work phone
Email
Alternate Contact
Name and title
Work phone
Email

Primary purpose or mission of organization (maximum 100 words)

Summary of proposed program (maximum 200 words)

Type of Arts Connect All Program (check one)
	5 or less instructional hours per student with a disability (total proposed contract fee may not exceed $10,000)
	6 or more instructional hours per student with a disability (total proposed contract fee may not exceed $25,000)

Total proposed contract fee

$_________________.00

Projected Number of Program Participants Direct Service to Students (integers only)
	# Children with disabilities served
	# Children without disabilities served
	Total # of children served
	Number of hours of instruction per participant Total number of hours of instruction one student receives over the course of the program. If your proposed work will be conducted in more than one classroom and these classrooms had different numbers of total hours of instruction, please list the hours of instruction for each classroom separately.

Projected Number of Educators trained as a component of the Arts Connect all Program (if applicable, integers only)
	# of educators, teachers or teaching artists participating
	# of hours of instruction per participant

Detailed program description Program narrative describing the proposed program with clearly articulated goals and objectives (maximum 600 words).

Dates of proposed program(s), locations, proposed partners, if applicable

Organizational qualifications Describe experience and capacity to deliver proposed program (maximum 250 words).

Personnel Provide biographies of key program personnel (maximum 100 words each). Names and contact information on key partners/collaborators (those committing significant time, resources, or support). *You may add additional rows if necessary*
Name	Short Bio
Name	Short Bio
Name	Short Bio

Proposed Contract Budget Submit a program budget that provides sufficient transparency into the calculation of the proposed contract fee (maximum 1 page)

REQUIRED ATTACHMENT – GENERAL INFORMATION AND DATA. Please fill out this form and return with your application. Check all boxes related to the proposed program that apply: To check the box, right click on the box, then left click on “properties,” and under “default value” click on “checked.”

Type of Professional Development (if applicable) Pre-Service Training (student teachers/college education students) Teaching Artists Classroom Teachers Special Education Teachers Mentoring Residency (emerging teacher/artists working with established teacher/artists) Other: Please specify _______________ Program Type Inclusive programs (children with and without disabilities participating together) Disability specific programs (mostly children with disabilities participating) Other: Please specify _______________ Program Venue Mainstream Classroom Special Education Classroom Disability Specific School Community Settings (not classroom/school based) Healthcare/Hospital/Therapy Center Museum/Arts Center Theater/Performing Arts Center Other: Please specify _______________

Grade Level Pre-Kindergarten Elementary School Middle School/Junior High School High School Artistic Genre Visual Arts Video/ Film Dance/ Movement Theater/ Drama Music Literary Arts Multi-Arts Other: Please specify ______________ Disability Type Severe/Profound or Multiple Disabilities Mobility/Physical Disability Deaf/Hard of Hearing Blind/Low Vision Cognitive (intellectual disability, autism, learning disability) Mental Illness or Emotional Disabilities Other: Please specify _______________ Nontraditional Learning Methods/Information Dissemination Distance Learning Webinar Significant Information Published on Webpage Electronic Publication Conference Presentation Other: Please specify______________

Completed proposals and required attachment must be submitted by July 31, 2013, at 11:59 PM EDT via email to [e-mail]

2013-2014 Contract RFP – VSA Arts Connect All – Workshop/Residency Page of 5

The John F. Kennedy Center for the Performing Arts