ARTS EDUCATION DIRECTORY & REGISTRY Presented by Newark Arts Education Roundtable View Listings Apply 1 Application Checklist2 Narrative Overview3 Arts Learning Plan for single school design4 Services & Fees5 Assurances & Signatures For any required field that is not applicable, please enter N/A. Primary Contact* First Last Name of Organization* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*FaxEmail* Federal Tax ID or Social Security NumberDo you have a Newark Public Schools Vendor ID Number ?*YesNo, not yet obtained.Newark Public Schools Vendor ID #* History*In one paragraph, please describe the history of arts education service to the Newark learning community, Newark Public Schools, or school-age public students in general.Experience*In one paragraph, please describe your experience in meeting the needs of diverse students populations (age, geography, culture, economic status, learning abilities).Skills*In one paragraph, please describe your skill and capacity to implement the New Jersey Core Content Standards in the Visual and Performing Arts. Be specific. Level* Elementary Middle High Art Form* Dance Media Arts Music Theater Visual Arts Museum Integrated Multi-Arts Multidisciplinary Other List other art formsDescription of Applicant*Description of Arts Learning Plan*Instructional Services*Performances / Exhibitions / Demonstrations / Culminating Events*Professional Development*Common/Collaborative Planning Time*Offsite / Field Trip / Transportation*Resources / Materials / Supplies / Equipment*Special Requirements, Comments, Needs or Considerations*Total Fee per School* Total # of Schools to Serve* Describe the various activities below. Please indicate N/A in all areas that do not apply.1. Direct Instructional Time with Students*Number*Rate*Sub-total2. Performances / Exhibitions / Demonstrations / Culminating Events*Number*Rate*Sub total3. Professional Development for Teachers / Administrators*Number*Rate*Sub-total4. Common / Collaborative Planning Time*Number*Rate*Sub-total5. Offsite / Field Trip / Transportation*Number*Rate*Sub-total6. Other Resources (materials, supplies, equipment, rentals)*Number*Rate*Sub-totalTotalsTotal Fee Per SchoolTotal Schools Available to ServeAvailability during school year Appropriate representatives of the applicant must be named below. The individuals signing below: Agree to all of the responsibilities named in the application Assure that the applicant is committed to implementing the activities as described Understand that delivery of services must match fees listed Have secured all the necessary original signatures from involved parties Indicate with an * which individual is the sole primary contact for this application Governing BodyOfficer Title*Name* Officer TitleName Officer TitleName Officer TitleName Administration / OwnerManagement TitleName Management TitleName Management TitleName Management TitleName Other Staff / Education Personnel / ArtistsTitleName TitleName TitleName TitleName This iframe contains the logic required to handle Ajax powered Gravity Forms.