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Facility Application for Bread & Roses Program Service

Thank you for your interest in Bread & Roses Presents.  Applicants should be aware that due to our limited resources as a non-profit organization, we are unable to fulfill all of the requests we receive for services.  We do maintain a waiting list and encourage applications.  To keep your request active, please advise us annually of your continued interest. 


Please also attach: A letter of request, on facility letterhead, indicating why you would like to receive Bread & Roses services and how our services would benefit your population. 

Owned/Run by
Corporation
Government
Non-Profit
Other
Type of Facility

Site Information

Can your facility accommodate indoor, outdoor and/or virtual performances? Please select all that apply.
Is there a stage?
Yes
No
Is there a piano?
Yes
No
Is there sound equiptment available?
Yes
No
Days of potential shows
Times of potential shows
How frequently could your facility potentially schedule shows?
Is there parking available for Bread & Roses volunteers?
Yes
No

Demographics

Population Age

Population Ethnicity

Population Gender

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