UMass Fine Arts Center | Angel Ticket Program New-Member Organization Application Form Complete this form to apply for membership to the Angel Ticket Program. To be eligible for this program your organization must be a registered non-profit service agency working with underserved populations who would otherwise be unable to attend performances. The program is not available for individuals or independent groups. Tickets awarded to member organizations are available only to clients, group coordinators or chaperones. Once approved for membership, you will receive a link to make ticket requests for your organization, which will include request due dates. Ticket award notifications for performances will then be mailed to your organization soon after each due date. Due to high demand and limited ticket availability, it is not always possible to meet all requests for all events. If you have requested more tickets for a performance than we are able to grant, then you will be able to purchase additional tickets at the youth rate regardless of the age of your clients. Angel Tickets Home Name of Organization * Name of Program * Your First Name * Your Last Name * Your Email * Phone * Street City State Zip Is organization registered as non-profit? * Yes No Briefly describe your program and the people it serves * How did you hear about the Angel Tickets program? Please mail, fax, or attach a copy of your organization’s non-profit 501 (c)(3) determination letter to this form. FAX: (413) 545-0132 MAILING ADDRESS: 16 Curry Hicks 100 Hicks Way Amherst, MA 01003-9267 Please attach a copy of your organization’s non-profit 501 (c)(3) determination letter Files must be less than 2 MB.Allowed file types: pdf doc docx odt odp xls xlsx ods. Ethnic Backgrounds Served African American Asian Caucasian Latino Native American Other Other Economic Background Served Below Poverty Poverty Lower Middle Class Middle Class Upper Middle Class Upper Class Ages Served 0-5 Years 6-14 Years 15-18 Years 19-21 Years 22-35 Years 36-49 Years 50+ Years Targeted Population At Risk At Risk Youth Disabled Developmentally Disabled Learning Foster/Adoptive Families Mentoring Program Other Other
