Association of Children's Museums

InterActivity Small Museum Financial Aid Program Application
Sponsored by Jack Rouse Associates

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Deadline: February 15, 2011

Program Description: The InterActivity Small Museums Financial Aid Program will provide five (5) selected individuals from five unique museum institutions with complimentary registration to InterActivity 2011 and tickets to three evening events. The goal of the program is to offset professional development expenses for museum staff at open children's museums with annual budgets under $500,000, who would otherwise be unable to attend InterActivity. The intent of the program is to cultivate staff members at small museums for long-term careers in the children's museum field. Travel to InterActivity and hotel accommodations are the responsibility of the selected recipient.

Applicant Eligibility: All applicants are expected to meet the following eligibility requirements.

Employed at an open, current ACM member children's museum that has an annual operating budget under $500,000.
Employed for at least one year at the ACM member children's museum.
Applicant is committed to a career in the children's museum field.

Additional Considerations: Applications will be reviewed based on the complete, accurate information submitted by the applicant. Applicants and applicant supervisors should clearly understand and endorse the benefits and responsibilities that come with the financial aid.

Application Process: Applicants must complete the online application in one sitting; ACM recommends that applicants prepare their answers for the essay questions ahead of time. ACM will send a confirmation email once your application has been submitted.

InterActivity Small Museum Financial Aid Program Application

Name (First, Last):
Title:
Employed at (name of ACM Member Museum):
Hire Date: (Month, Year)
Your Contact Phone:
Your Contact Email:
Please list the museum's annual operating budget:
Would you be able to attend InterActivity 2011without receiving financial aid?	Yes	No

Has any staff person from your museum ever attended an InterActivity conference?	Yes	No
Please indicate, yes or no, if you have ever attended an InterActivity conference. If yes, please also indicate the last year you attended.
Does your museum plan to send any staff members to InterActivity 2011? If yes, please list by name and title all staff members that are likely to attend.
Briefly summarize your museum's most recent accomplishment and your museum's most pressing institutional challenge. Limit 200 words.
How would you benefit by attending InterActivity 2011, and what are your long-term professional goals? Limit 200 words
	It is ACM's goal to notify selected applicants as soon as possible to allow them adequate time to make full arrangements to attend InterActivity. Therefore, it is essential that each applicant confirm that if selected to receive InterActivity registration tuition, there are no other financial barriers that would prohibit the applicant from attending InterActivity for the full three days.
	I am able to secure funds to pay for all travel expenses to InterActivity.
	I am able to secure funds to pay for all hotel accommodations at Hyatt Regency Houston, InterActivity's official hotel.
	I am able to secure funds to pay for all food and other expenses to InterActivity.
	I certify that all statements and information submitted in this application are valid and accurate to the best of knowledge.
	If awarded financial aid, I agree to participate in conference activities to be determined by ACM and allow my name and likeness to be shared in ACM publications and on the ACM Web site.
	I understand it is my responsibility to notify ACM immediately if changing circumstances prevent me from attending InterActivity 2011 due to personal reasons or due to a lack of funds to cover travel, hotel and other expenses, so that ACM may grant another qualifying candidate InterActivity Financial Aid Program assistance.
Supervisor Name:
My Supervisor:	Endorses my financial aid application and participation at InterActivity 2011
Please upload a copy of your resume. **File size limit is 1 MB. The file may be a Word document or a PDF.
		**Please only press the Submit button once and wait for the Thank You page to appear to confirm that your email has been sent.