BRIC Organizational Training Application

About You

Please tell us more about you and your organization.

*PLEASE NOTE: Organizational training slots are currently full and will be reviewed on a rolling basis. However, we are currently accepting admissions for the Media Share grant program. Go to BRICartsmedia.org/mediashare for information. Deadline to apply is March 10, 2017. We HIGHLY suggest that you apply to that program before requesting organizational training.*

1. Please tell us about you *This question is required.

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Zip

If your organization is not located in Brooklyn, please confirm that you have an office/affiliate in Brooklyn or the staff to be trained can provide residency in Brooklyn. List details below.

Country

Email Address

Phone Number

Alternate number (please put N/A) if none.

Mobile Phone

Website (where we can learn more about your organization, please list n/a if none).

2. Is your company a not for profit? *This question is required.

3. Please tell us about your organization's mission. *This question is required.

4. What is your company's EIN number?

5. What is your approximate budget for custom training? *Please note that your budget must be submitted as this is paid training. Free training is ONLY provided through BRIC's Media Share grant program at this time.* *This question is required.