CSGreenWee

978 744-1400 • One East India Square • Salem MA 01970

The North Shore's Friendliest Independent Movie Theater

CinemaSalem Grant Application

Name of Organization_________________________________________

Address_____________________________________________________

Contact Person and Phone Number________________________________

Non-profit Status ______________________________________________

What is the mission of your organization?___________________________

____________________________________________________________

How are you making a difference?________________________________

___________________________________________________________

How many “stakeholders” are involved with you (staff, supporters, clients,

audiences, funders, etc.)? _______________________________________

____________________________________________________________

How do you communicate with your stakeholders?____________________

____________________________________________________________

____________________________________________________________

How would you use a CinemaSalem Grant?_________________________

___________________________________________________________

 

One grant will be awarded each month. Please print out this form and mail it to:

CinemaSalem
attn: CinemaSalem Grants
One East India Square
Salem MA 01970

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