Fund the Change

Gift Recipient Recommendation Form

Thank you for your interest in recommending someone to us as a potential "Fund the Change" gift recipient.

Here are a few important notes:

1. "Fund the Change" funds individuals only-- not groups, organizations, or projects.

2. You cannot recommend yourself. If you would like to be a "Fund the Change" gift recipient, find one of the many amazing activists in your field and ask one to recommend you. You can also ask a previous "Fund the Change" gift recipient to recommend you.

3. The individual(s) you recommend must be involved in activism/social justice work in the arts and culture sector. This includes, but may not be limited to: museums, zoos, aquariums, historic sites, libraries, visual arts, performing arts (e.g., music, theater, dance, spoken word), literary arts, and film.

4. In your recommendation, please tell us why you feel the individual should be funded. We have provided some questions below as prompts to inform your recommendation. This will help us get to know the individual and their efforts.

5. We ask for your name and email because we may have questions and want to follow up with you.

6. We ask that you recommend a maximum of 2-3 individuals. Please fill out this form separately for each individual.

7. Please note that if a person you recommend is selected to receive a gift they will be informed that you are the person who recommended them.

8. As you consider folks, please think about who you feel might benefit most. This might be because they are in a work environment that does not emotionally or financially support their activism, or perhaps because they are currently not in a paying position or job. It could be because their work inspires and amazes you with its innovation and creativity, or because you have seen them confront incredible oppression and hate.

9. Priority will be given to people of color/BIPOC individuals, LGBTIQ folks, people with disabilities, those with financial disadvantages, and womxn. As part of ExposeYourMuseum’s racial equity practices, no less than 75% of recipients will be people of color/BIPOC.

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* 1. Your name:

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* 2. Your email:

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* 3. Name of the individual you are recommending as a "Fund the Change" gift recipient:

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* 4. Email of the individual you are recommending:

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* 5. Is the individual you are recommending involved in activism/social justice work in the arts and culture sector? This includes, but may not be limited to: museums, zoos, aquariums, historic sites, libraries, visual arts, performing arts (e.g., music, theater, dance, spoken word), literary arts, and film.

Please note, this is a requirement of "Fund the Change" gift recipients.

Yes

If yes, please specify:

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* 6. Where do they live and/or do most of their work? (Please list city, state, country, etc.)

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* 7. To the best of your knowledge, does the individual you're recommending identify as one or more of the following (select all that apply)?

	Yes	No	I don't know/not sure
Person of color	Person of color Yes	Person of color No	Person of color I don't know/not sure
Native or indigenous	Native or indigenous Yes	Native or indigenous No	Native or indigenous I don't know/not sure
LGBTIQ+	LGBTIQ+ Yes	LGBTIQ+ No	LGBTIQ+ I don't know/not sure
Person with a disability	Person with a disability Yes	Person with a disability No	Person with a disability I don't know/not sure
Financially disadvantaged	Financially disadvantaged Yes	Financially disadvantaged No	Financially disadvantaged I don't know/not sure
Female/femme/non-male	Female/femme/non-male Yes	Female/femme/non-male No	Female/femme/non-male I don't know/not sure
Survivor (of violence, abuse, etc.)	Survivor (of violence, abuse, etc.) Yes	Survivor (of violence, abuse, etc.) No	Survivor (of violence, abuse, etc.) I don't know/not sure

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* 8. Please list, if applicable, any websites or social media (Twitter, Instagram) we should check out to get a better sense of the individual you're recommending:

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* 9. Why did this individual come to mind for you as someone to recommend to "Fund the Change?"

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* 10. What is the individual you are recommending passionate about, working on, and doing?

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* 11. Who are they centering or prioritizing in their work/efforts?

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* 12. How is their work creating equity, justice, representation, mitigating harm, or righting wrongs?

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* 13. Is there anything else you'd like us to know about the individual you are recommending to "Fund the Change?"

If and when the person you are recommending is selected as a "Fund the Change" gift recipient, they will be made aware that you referred them.

If you have any additional questions or comments about this recommendation or about "Fund the Change," please don't hesitate to email kate@exposeyourmuseum.com or visit https://www.exposeyourmuseum.com/fund-the-change.