21/22 Grassroots Arts Program - Grant Application - DEADLINE Sept. 27, 2021
For programs and projects occurring prior to May 31, 2022
Section 1: Organization Information
We recommend you work offline, then cut and paste your responses into this application.
You can access the list of questions here
If you need assistance with accessibility or have questions, please contact
director@rcarts.org
Name of person with authority to sign contracts on behalf of organization
Prefix
First Name
Last Name
Authorizing person's email
example@example.com
Job or position title
Name of organization applying for funding
Federal Tax ID of the applying organization
Organization is
Arts organization
K-12 public school
Community college
County or municipality
Other
Organization's mailing address
Street Address
Street Address Line 2
City
State
Zip Code
Organization's main telephone number
Does the organization have a Facebook Page? If yes, what is the URL?
Does the organization have an Instagram account? If yes, what is the URL?
Is the organization or the person applying currently a member of the Rockingham County Arts Council?
Yes
No
Not sure
Authorizing person's direct office number or cell phone number
Section 2: Program or Project Information
Project Title
If you are an arts organization applying only for general operating support, enter "General Operating support" in Project title
Date program/project BEGINS
Date program/project ENDS (No later than May 31, 2022)
Address where the project/program will take place
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please describe the project or program. What will occur? Please be specific. 200 word limit.
If applying for general operating support, briefly tell us about your projects or programs.
0/200
Description of intended audience, including estimated numbers and racial/cultural composition. 40 word limit.
0/40
How will you promote the project or program? 40 word limit.
0/40
Section 3: Artist Involvement
In the field below: (1) describe the artists to be involved involved in the project. (2) Explain how and why they were chosen. (3) If you have not yet selected the artists, describe the kinds of artists you intend to involve and how you will select them. Limit 2,000 words.
0/2000
Section 4: Partners & Elected Officials
Who are the program or project partners? What organizations and/or people are working with the applicant? If there are no other partners, enter N/A.
Letters of support are not required; however, if you would like to submit one, you may upload one here.
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Who is the NC Senator serving your organization's location? Don't know? You can look it up by location here: https://www2.ncleg.net/RnR/Representation
Who represents your organization's location in the NC House of Representatives? Don't know? You can look it up by location here: https://www2.ncleg.net/RnR/Representation
Section 5: Program or Project Budget
Amount you are requesting from Grassroots Funding:
Enter whole dollar amounts only
Amount of matching funds for the project or program. If you are having trouble with matching funds, please contact us by phone call or text at (336) 349-4039.
If applying for general operating support, then your annual budget is your match.
If funded, Grassroots funding will be used for (check all that apply)
General operating expenses (such as rent, utilities, etc.)
Artist stipends
Venue rental
Staff
Travel
Marketing
Other
Other
Other
Upload Program or Project Budget
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Type a question
Please Run the Wizard
Section 7: Certification
The undersigned understands that failure to respond to any of the above items may adversely affect the consideration of this application and certifies that (1) he/she/they are committed to the completion of the proposed project in compliance with legal requirements and granting procedures; (2) that the information contained in this application, including attachments and supporting materials, is true and correct to the best of his/her/their knowledge.
Name of person completing this application
First Name
Last Name
Title
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