Frederick Artist Relief Fund Application Question Title * 1. First and Last Name Question Title * 2. Email address Question Title * 3. Home Address Question Title * 4. Total monthly household income Question Title * 5. Are you an artist in who lives in Frederick County MD? (You must live in Frederick County MD to be eligible for this fund) Yes No Question Title * 6. Which discipline do you practice? Music Theatre Film Dance Visual Other (please specify) Question Title * 7. Have any of your events been canceled due to the outbreak of COVID-19 also known as Corona Virus? (NOTE: If you had to cancel your gig because you are in an "at risk category", please mark 'yes' your gig was canceled and specify in your event description below. No Yes Question Title * 8. Do you need help covering expenses that you would have been able to cover if your events weren't canceled due to COVID-19? Yes No Question Title * 9. Please describe the event that was canceled. Be sure to include the DATE and LOCATION of the event as well as the AMOUNT you were to be compensated for the event. Question Title * 10. What is the minimum amount of money you need right now to cover your immediate expenses? (Amount cannot exceed $500) Question Title * 11. Please provide some evidence of your active artistic practice such as a link to your website, a link to your platforms such as SoundCloud or links to Vimeo, etc (or send pictures of your artwork to info@frederickartscouncil.org with your name) Done