KCAAEN Member Application

Kennedy Center Alliance for Arts Education Network (KCAAEN)

Member Application

Online Submission Form

INTRODUCTION

The Kennedy Center Alliance for Arts Education Network (KCAAEN) is a coalition of statewide not-for-profit Alliances for Arts Education working in partnership with the John F. Kennedy Center for the Performing Arts to support policies, practices, and partnerships that ensure the arts are an essential part of American K-12 education. The mission of the KCAAEN is to advance learning in and through the arts for all students.

KCAAEN Membership is subject to member criteria listed in the KCAAEN Member Handbook and to review and approval by the Kennedy Center. The Member Handbook outlines the list of requirements to which State Alliance organizations must adhere to become a member of the KCAAEN and to maintain membership in good standing. The Kennedy Center awards KCAAEN member status at its sole discretion.

Membership is established through the submission and approval of a Member Application. Member Applications are accepted on an on-going basis. Applicants should allow at least 30 days for review of the Member Application.

Organizations that wish to maintain KCAAEN member status must submit a complete and accurate KCAAEN State Profile Form annually.

To apply for membership, please contact the Kennedy Center at kcaaen@kennedy-center.org or 202-416-8817 prior to submitting this online form. You may download a copy of this Member Application in Microsoft Word to use as a worksheet, prior to submitting this form.

The KCAAEN was formed in 1973 as a program of Education at the Kennedy Center.

It is a National Partnerships program.

National Partnerships, part of the Rubenstein Access Program,

is generously funded by David and Alice Rubenstein.

Additional support is provided by the National Committee for the Performing Arts

and the U.S. Department of Education.

INSTRUCTIONS FOR THIS ONLINE FORM

Your answers should be cut from another program and pasted in the fields below. The Kennedy Center strongly recommends you do not draft your answers in this online form, but that you finalize your application in a program that allows you to easily revise, save, and return to your work.
Clicking “review and submit” will take you to a review page. It will not submit your application.
- Items marked with an asterisk (*) are required.
- When uploading requested documents, please put the name of your organization in the filename (e.g. "Alabama Alliance for Arts Education_Board Member List_KCAAEN Member Application").
- When you have completed this form, click the "review and submit" button.
  - If you click "review and submit" and the page does not advance, responses above must be modified. Look for red text to determine what changes to make. Error messages appear above the question that needs correction.
  - After you click "review and submit" and the page advances, you will have a chance to read and review your Member Application.
  - From the review page, when you are ready, click "submit form" to submit your final information to the Kennedy Center for review.
- Once your Member Application is submitted, you will see a confirmation page. If you do not see this page, your form was not submitted.
  - On the confirmation page, you will see a link to a Microsoft Word version of your Member Application that you can download for your records. To save this document, click on the link and you will be prompted to download the document.
- This form does not allow you to bold, underline, or italicize text.
- There are two types of fields below that will allow you to enter text.
  - Short answer fields are used for text maximums under 1000 characters. Short answer fields will automatically delete text that is over the character limit.
  - Large answer fields are used for predetermined text maximums. Large answer fields will not automatically delete text over the character limit. However, you will not be able to submit this form if the text you've entered exceeds the maximum.
- Spaces count as characters.

MEMBER APPLICATION FORM

Please complete this KCAAEN Member Application form and upload appropriate documents where necessary.

Establishing Membership Criteria

The following is a list of membership requirements for organizations new to the KCAAEN. These requirements must be maintained yearly. Please indicate which of these criteria your organization has already met by checking the appropriate boxes.

A list of additional requirements to maintain membership is included at the bottom of this form.

A State Alliance will:

Adopt a mission statement that has arts education as a primary focus;

Include in its bylaws the following statement: “[organization name] is a Member of the Kennedy Center Alliance for Arts Education Network.” (This may be an attached amendment to current by-laws.) With the approval of the Kennedy Center, the name of the current organization may remain, but new member organizations are encouraged to adopt the name “[state] Alliance for Arts Education”;

Acknowledge that “The [organization name] is a Member of the Kennedy Center Alliance for Arts Education Network” on all printed and published materials, as well as on websites and all electronic media. Use of this language is required in order to heighten the profile of, and support for, the collective voice of the KCAAEN;

Secure and maintain tax-exempt [501(c)3] status, as a state not-for-profit organization pursuant to federal and state guidelines and regulations;

Submit annually to the Kennedy Center an organizational financial audit or Federal Form 990 for the most recent fiscal year;

Establish and maintain a statewide Board of Directors including individuals from education, the arts, the community, and corporate sectors, which meets at least twice each year;

Establish and maintain a permanent address and phone number for the purpose of carrying out the Alliance’s work; and

Provide contact information for at least two individuals who are primarily responsible for operating the State Alliance (i.e., the Executive Director and Board Chair) including role with Alliance, address, phone, fax, and email address.

Organization Contact Information

Please provide the following contact information for the organization as it appears on incorporation and/or by-law documents. The address and e-mail should be permanent, organizational shipping and e-mailing information established for the purpose of carrying out the work of the board of directors, responding to inquiries, and disseminating information.

Name of Proposed State Alliance*
Alliance Phone*
Alliance Fax
Alliance E-mail*
Alliance Website (include “http://”)*
Alliance Address*
Alliance Address 2
Alliance City*
Alliance State*
Alliance Zip Code*

3.	Board Chair/President Contact Information Please provide the following contact information for the organization’s Board Chair/President. Should any change take place during the year, member organizations are required to notify the Kennedy Center via e-mail.

First Name*
Last Name*
Alliance Title*
Preferred E-mail for Kennedy Center Communications*
Preferred Phone for Kennedy Center Communications*
Non-Alliance Work Title
Non-Alliance Organization
Non-Alliance Website (include “http://”)
Non-Alliance Address
Non-Alliance Address 2
Non-Alliance City
Non-Alliance State
Non-Alliance Zip Code

4.	Board Chair-Elect/President-Elect Contact Information Please provide the following contact information for the organization’s Board Chair-Elect/President-Elect. Should any change take place during the year, members organizations are required to notify the Kennedy Center via e-mail.

First Name*
Last Name*
Alliance Title*
Preferred E-mail for Kennedy Center Communications*
Preferred Phone for Kennedy Center Communications*
Non-Alliance Work Title
Non-Alliance Organization
Non-Alliance Website (include “http://”)
Non-Alliance Address
Non-Alliance Address 2
Non-Alliance City
Non-Alliance State
Non-Alliance Zip Code

Chief Staff Person Contact Information

Please provide the following contact information for the organization’s chief staff person, such as the Executive Director or CEO, if the organization employs staff. If the organization does not employ staff, please leave this blank. Should any change take place during the year, member organizations are required to notify the Kennedy Center via e-mail.

First Name
Last Name
Alliance Title
Preferred E-mail for Kennedy Center Communications
Preferred Phone for Kennedy Center Communications

6.	Of the individuals whose contact information you have provided, which should be listed as the primary contact for Kennedy Center communications?*

7.	Of these individuals, who should be listed as our secondary contact for Kennedy Center communications?*

Mission Statement

Please provide the organization’s mission statement. This mission statement should have arts education as primary or central to the work of the organization, including working to ensure the arts are a critical and essential component of K-12 education, thereby reflecting the shared mission and goals of the Kennedy Center and the KCAAEN. Please refer to the KCAAEN mission statement as a reference.

Mission Statement (500 character maximum)*

9.	Bylaws Please upload a copy of the organization’s by-laws. KCAAEN member organizations must include in their bylaws the following statement: “[organization name] is a Member of the Kennedy Center Alliance for Arts Education Network.” (This may be an attached amendment to the current by-laws.)

Please upload the organization’s bylaws. (10 MB maximum, PDF preferred)*

10.

Program Narrative

Please provide a narrative describing how the activities of the organization address its mission and goals. The narrative should reflect the capacity, program strategies, and operations of the organization, providing reviewers with a clear view of the organization’s regular work and accomplishments. As part of this narrative, you may include the following. Please also include dates of events whenever possible.

Advocacy activities
Direct service for educators, students, teaching artists, or others
Information published or research conducted by the organization, online or in-print
Awards conferred by the organization
Awards conferred upon the organization

Program Narrative (3 page/9000 character maximum)*

11.	Organizational Plan Please describe the organization’s plan. This could include a work plan or a strategic plan.

Organizational Plan (1.5 pages/4500 character maximum)*

12.	Financial Information Please answer and upload the following financial information based upon the most recently completed fiscal year. Balance Sheet Statement of Cash Flow Statement of Activities Audit or most recently submitted IRS Form 990

What is the first day of the organization’s fiscal year? (mm/dd/yyyy)*

Please upload a balance sheet. (2 MB maximum, PDF preferred)*

Please upload a statement of cash flow. (2 MB maximum, PDF preferred)*

Please upload a statement of activities. (2 MB maximum, PDF preferred)*

Please upload an audit or most recently submitted IRS Form 990. An audit is preferred. (10 MB maximum)*

13.	Federal 501(c)3 Status Please upload a document detailing the organization’s federal 501(c) status.

Please upload proof of the organization’s federal 501(c)3 status. (2 MB maximum, PDF preferred)*

14.	State 501(c)3 Status Please upload a document detailing the organization’s tax-exempt [501(c)3] status as a state not-for-profit organization pursuant to state guidelines and regulations.

Please upload proof of the organization’s state 501(c)3 status. (10 MB maximum, PDF preferred)*

15.	Staffing Levels Please provide the following information about the organization’s staffing levels in full-time equivalent (FTE). 1 FTE = 40 hours combined staff time per week.

Number of Full-Time Staff Members (FTE)*
Number of Part-Time Staff Members (FTE)*

16.	Board of Directors Information Please provide the following information about the organization’s board of directors who are responsible for planning and guiding the work of the organization.

Number of Board Members*

Number of Executive Committee Members*

Please list the dates of all board meetings in the last year. Please use the mm/dd/yyyy format.*

Please upload a list of board members, including full names, affiliations, and e-mail addresses. (1 MB maximum, PDF preferred)*

Please upload a copy of the minutes from each board meeting in the last year. (10 MB maximum, PDF preferred)*

17.

Maintaining Membership Criteria

To remain in good standing, KCAAEN members must maintain the following “Maintaining Membership” criteria each year. This question is for informational purposes only.

Continue to maintain all criteria listed under “Establishing Membership” above;
Submit annually to the Kennedy Center a listing of all Board members with Board positions held (via the State Profile Form);
Have in place a Board member with the title of Chair-Elect or President-Elect for one year prior to that Board member assuming the role of Board Chair;
Submit annually to the Kennedy Center minutes from all meetings of the Alliance Board of Directors (via the State Profile Form);
Submit annually to the Kennedy Center copies of all Alliance newsletters and the URL for the Alliance website (via the State Profile Form);
Document and record annually the State Alliance activities and accomplishments in arts education, sharing this information with the Kennedy Center and the NLC (via the State Profile Form);
File a KCAAEN Annual Member Profile with the Kennedy Center by the stated deadline (via the State Profile Form);
Participate in at least four Annual Meetings in five years;
Vote in Network Leadership Committee (NLC) Elections and other situations that require State Alliance voting;
Respond to phone calls, e-mails, and correspondence promptly from NLC members and the Kennedy Center staff; and
Demonstrate statewide activities that align with the KCAAEN mission and the purpose of State Alliances—to advance learning in and through the arts for all students.

18.	Member Application Agreement Please download, complete, scan, and then upload the Member Application Agreement. The Agreement must be completed and signed by the Board Chair/President, Board Chair-Elect/President-Elect, Treasurer or Bookkeeper, and the chief staff person (if applicable).

Please upload the Member Application Agreement. (10 MB maximum, PDF preferred)*