Institution type:
□ Children’s/Youth
□ Dance
□ Music
□ Multi-discipline
□ Gallery
□ Theatre
□ Visual art
Annual operating budget:
□ $0-50,000
□ $50,001-100,000
□ $100,001-250,000
□ $250,001-500,000
□ $500,001-1,000,000
□ $1,000,001-3,000,000
□ $3,000,001-$10,000,000
□ $10,000,001 or over
Number of full-time staff members pre-COVID:
_________________
Number of part-time staff members pre-COVID:
_________________
Number of independent contractors pre-COVID:
_________________
Date of planned reopening or return to live performances:
□ October-December 2020
□ January-March 2021
□ April-June 2021
□ July-September 2021
□ October-December 2021
□ Not until 2022
Layoff or furlough actions taken.
□ We have not furloughed or laid off any staff
□ Furloughed part-time staff
How many and approximate salary totals for each _______________________________
□ Laid off part-time staff
How many and approximate salary totals for each _______________________________
□ Furloughed full-time staff
How many and approximate salary totals for each _______________________________
□ Laid off full-time staff
How many and approximate salary totals for each _______________________________
□ Furloughed contract staff
How many and approximate salary totals for each _______________________________
□ Laid off contract staff
How many and approximate salary totals for each _______________________________
Did you reopen or foresee opening with reduced staff?
□ Yes
If yes, what percentage will NOT likely be returning?
□ 81-99
□ 61-80
□ 41-70
□ 21-40
□ 1-20
□ No
□ Don’t know
What percent of staff are currently laid off or furloughed?
□ 0
□ 1-20
□ 21-40
□ 41-60
□ 61-80
□ 81-99
□ 100
Amount of operating income (as a % of whole) expected to lose in 2020?
□ 0
□ 1-20
□ 21-40
□ 41-60
□ 61-80
□ 81-99
□ 100
Amount of operating income (in real dollars) expected to lose in 2020?
_________________
Months of operating reserve available (as of November 1)?
_________________
Support received during pandemic (check all that apply).
□ Foundation support
Name(s): ___________________________________________________
□ Government funding
Name(s): ___________________________________________________
□ Individuals
□ Other
Name(s): ___________________________________________________
Do you believe there is a significant risk of your organization closing permanently in the next 16 months, absent additional financial resources?
□ Yes
□ No
□ Don’t Know
Services provided during COVID closure and/or community lockdown?
Describe: _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Can you share any success stories or silver linings about what you have been doing during the pandemic to help Arlingtonians “heal” and get through this crisis?
Describe: _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
What is your most urgent need at this time?
Describe: _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
What do you want elected officials to know about your organization?
Describe: _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
