Name of Organization: *required

Address: *required

Address2:

Floor/Suite:

City: *required

State: *required

Zip Code: *required

Contact First Name: *required

Contact Middle Name/Initial:

Contact Last Name: *required

Title:

Phone Number:

Fax Number:

Email: *required

Web URL:

Describe your organization in 10 words or less. *required

Please give a more detailed description of your organization and what you offer. *required

Is your organization in operation year-round?

• Yes
• No

For performance and other organizations that are [b]not[/b] in operation year-round, please indicate months of operation or performance in the following 12 months.

• January
• February
• March
• April
• May
• June
• July
• August
• September
• October
• November
• December

Number of Full-time employees: 0 1-5 6-10 11-20 21-30 41-50 over 50 *required

Volunteers/Interns: 0 1-5 6-10 11-20 21-30 41-50 over 50 *required

How many years has your organization been in operation? 1 2 3 4 5 6 7 8 9 10 11-15 16-24 more than 25 *required

Are you affiliated with any professional organizations? *required

Are you a 501c-3?

• Yes
• No

What is your organization's annual operating budget? To qualify, budget most not exceed $1 Million. $50k and under $50 - 100k $100 - 200k $200 - 300k $300 - 400k $500 - 750k $750k - 1 million *required

Please check ALL the categories that best fit your organization:

• Concert Hall/Performing Arts Center
• Museum
• Service Organization
• Theater
• Other

If other, please explain:

How did you hear about WNYCs *STAR* program? Please check ALL that apply:

• On the Air
• Print Media
• Friend/Colleague
• Other

If other, please explain:

Any other comments?