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* 1. Please provide your First and Last name.

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* 3. Please provide the name of your organization.

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* 4. Please provide your organization's address.

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* 5. Select the Federal agency that has TERMINATED your grant or cooperative agreement. Please note there has only been confirmation of grant terminations by IMLS and NEH. The agencies listed are those that museums most receive funding from.

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* 6. Please provide the grant or cooperative agreement number associated with the termination letter.

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* 7. Total grant or cooperative agreement amount? If more than one grant has been terminated, please provided the amount and name of the granting organization.

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* 8. Total dollar amount lost by the termination?

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* 9. What has been the economic impact of the termination of your federal grant or cooperative agreement on your institution and the communities you serve?
For example: Have you had to pause or cancel community partnerships, educational programming, or public events?

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* 10. Are you willing to contribute your name and your institutions name to your impact story?

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* 11. Please Upload a copy of your termination letter.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 12. If this issue becomes a legal matter and AAAM joins a lawsuit—similar to the legal action researchers pursued to reinstate NIH funding—would you be interested in joining this legal effort?

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* 13. Has your institution been impacted by any other recent Executive Orders—such as the one banning federal support for the celebration of Black History Month?
If so, please describe the impact (e.g., declines in school tours, event rentals, community partnerships, or other programming disruptions).

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* 14. Can you estimate how much revenue your institution has lost as a result of this Executive Order?

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