Community Access Fund

The Museum of Ceramics and donors provide funds for individuals to participate or attend Museum activities. Please complete the application below if you, or someone you know, are interested.

Name of Applicant

First Name

Last Name

Name of Parent or Guardian if Applicant is a Minor

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Activity or Event (Please include dates)

Cost of Activity or Event

Statement of Need. Please state why this activity would be beneficial to the individual and why they qualify for the funds

Amount of Funding requested

25% of fee

50% of fee

75% of fee

100% of fee

Community Access Fund

Museum of Ceramics400 East Fifth StreetEast Liverpool, OH 43920(330) 386-6001

Museum of Ceramics
400 East Fifth Street
East Liverpool, OH 43920
(330) 386-6001