Grant Agreement Form

I agree to the following on behalf of [name of organization/school]:

I hereby attest that all information provided to The Fender Music Foundation during the application process is accurate to the best of my knowledge.

If the organization I am representing is awarded a grant from The Fender Music Foundation, the items should be shipped to the following address:

STREET:                                                                                                               

CITY, STATE ZIP:                                                                                                                   

If the above address is that of a public school, The Fender Music Foundation should take the following action if the items are ready for shipping while school is not in session:

                                                                                                                                       

                                                                                                                                       

                                                                                                                                        

If the organization I am representing is selected, I also agree to send the following to The Fender Music Foundation (info@fendermusicfoundation.org) no more than six months after receiving the grant:

  • High resolution photos (preferably digital) of the program, showing use of the grant.
  • A testimonial from somebody in the program who was affected by this grant.
  • A statement addressing the following questions:
    1. How many people were served by this grant?
    2. What has been the peripheral impact of this grant?

I understand that I am responsible for returning any awarded instruments or equipment to the Foundation if the applicant program is terminated so that they may be sent to other needy programs.

I understand that I may not under any circumstances sell any awarded instruments or equipment.  Furthermore, I understand that any violation of this policy will result in the revocation of current and future grant privileges.

I hereby grant permission and license to The Fender Music Foundation to use the following in connection with its promotional materials (including print, websites and any other medium):

  • The name and logo of the program, organization, and/or school.
  • All photos the organization/school submits to The Fender Music Foundation.
  • All statements and information the applicant organization supplies to The Fender Music Foundation from all sources (including all content previously submitted, content that will be submitted in the future as well as verbal statements.)

If this organization is selected to receive more than 8 instruments, I agree to post an image celebrating this honor to our program or organization’s website.

I hereby affirm that I have read, understand and agree to the provisions set forth in this Agreement Form on behalf of [name of organization/school].

 

Organization’s Executive Director, CEO or school’s Principal

Signature: ________________________________________

Printed Name: ___________________________________________

Date: _______________

 

Program’s Director/Music Teacher

Signature: ________________________________________

Printed Name: ___________________________________________

Date: ______________