Grassroots Grant Application

Grassroots Grant Application
Submit this application to Watauga Arts Council. It should not be submitted to the North Carolina Arts Council. Please review the full guidelines before applying.
Name of Organization or Artist
Name of Contact Person

First NameLast Name
Contact Person Title
Organization/Artist Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Website
Name of Fiscal Sponsor/Agent if Applicable
Organization's EIN
Or fiscal sponsor's
Organization's UEI
If applicable
Please give a brief description of your operations, mission, board and staff composition, etc. Current arts programs and services and number and kinds of people served. Public schools and other large governmental or community agencies should provide a description of their arts program only rather than the entire organization
Organizational Finances:

Please attach a projected operating budget for the year in which the grant funds will be used. Also, include completed operating budgets/statements for the previous two years. Public schools and other large governmental or community agencies are exempt from this requirement. Please copy the totals from these attachments in the spaces below.
File Upload

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Annual Budget

Please Enter Your Budget Numbers

Rows	Last FY/ Actual	Current FY	Projected FY
Annual Budget
Income:
Expense:

Project Description
Project Title(s)
Grant Amount Requested
Project Start Date - July 1 of a fiscal year - If applying for operational support for multiple projects, put the start and end of your programming season.
MM-DD-YYYY Format Please!
Project End Date - No later than June 30th of the fiscal year
MM-DD-YYYY Format Please!
If you received a Grassroots Grant last year, please give a brief description of your project and how you promoted/thanks NC Arts and Watauga Arts Council.

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Project Narrative

Please include a narrative providing the information requested below for the project you purpose and impact. Please be concise and specific as possible:
Project summary description

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Project goals. (Can list what the goal is and why- does not have to be in narrative form.)
Description of intended participants/audience
Location where project will take place
Description of project activities
6. Description of the artists involved in the project, how and why they were chosen and, ifappropriate, the rate of payment for their services. (If you have not yet selected the artists,describe the kinds of artists you intend to involve and how you will select them.)
(If you have not yet selected the artists, describe the kinds of artists you intend to involve and how you will select them.)
Description of how the project will be publicized and promoted to reach intended audience. NOTE: you WILL BE REQUIRED to submit proof that you have done this, failure to adhere to this requirement will make you ineligible to apply for future funding:
Applicants ARE required to include NC Arts and Watauga Arts Council logos as sponsors of your project. Mention of our organizations should be included in press releases, flyers, websites and more. You will be required to submit samples of promotion for your programming in your end-of-season report.
Description of how you will evaluate the project
How will you determine if it was a success?
Project Budget:

Please provide a projected budget for your proposed project utilizing the format below. Applicants ARE required to match funds received. If you do not have income or expenses in a given row, please enter 0 (zero).

Project Expenses

Rows	Cash Expenses	Grant Amount Requested	Applicant Cash Match
Administrative Staff
Artistic Staff
Technical/Production Staff
Artistic Contracts
Other Contracts
Space Rental
Travel
Marketing
Remaining Project Expenses
Total Cash Expenses
OTHER

Projected Income

Rows	Income
Admissions
Contracted Services Revenue
Other Revenue
Corporate Support
Foundation Support
Other Private Support
Federal Government Support
State/Regional Government Support
Local Government Support
Applicant Cash
Grant Amount Requested in this application
Total Cash Income (Must at least equal Total Cash Expenses)
Other

Please Attach your notorized "No-Overdue Tax Forms" (can find on our Grassroots Grant Page of Website)

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Please Attach image for announcement of awards, it can be of your organization, promo materials for the event, or photos from a similar previous event.

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Provide any other supporting documents.

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Certification

CertificationWe understand that failure to respond to any of the above items may adversely affect the considerationof this application. We certify that we are committed to the completion of the proposed project incompliance with legal requirements and granting procedures. We certify that the information contained in this application, including attachments and supporting materials, is true and correct to the best of our knowledge. Signature of Authorizing Official:
Name Position of Authorizing Official Contact Person
Date

MonthDayYear
Date
Signature of Authorizer:
Race/Ethnicity of Organization's Director or Applicant:

Other
Contact Person's Title

First NameLast Name
Will this project supply multicultural artists or organizations? If no, write "NA". If so, please list the artists or organizations. If there are too many to list, please write "see attachment" and attach a document at the end of this form. You can also write what you know in this section and indicate if there will be more added at a later time.
How will you determine if it was a success?
Please give a brief description current arts programs and services and number and kinds of people served. Public schools and other large governmental or community agencies should provide a description of their arts program only rather than the entire organization.
Will 50% or more of your project involve Arts Education?
Does your organization primarily serve black, indigenous, and people of color? Is your organization led by a BIPOC leader? Will the programming you are applying for be hiring BIPOC artists?
Does your organization primarily serve black, indigenous, and people of color? Is your organization led by a BIPOC leader? Will the programming you are applying for be hiring BIPOC artists?

Other

Project Expenses

Rows	Cash Expenses	Grant Amount Requested	Applicant Cash Match
Administrative Staff
Artistic Staff
Technical/Production Staff
Artistic Contracts
Other Contracts
Space Rental
Travel
Marketing
Remaining Project Expenses
Total Cash Expenses
OTHER

Projected Income

Rows	Income
Admissions
Contracted Services Revenue
Other Revenue
Corporate Support
Foundation Support
Other Private Support
Federal
State/Regional
Local
Applicant Cash
Grant Amount Requested in this application
Total Cash Income (Must at least equal Total Cash Expenses, Item G above)
Other

Should be Empty:

Grassroots Grant Application

Organizational Finances:

Annual Budget

Project Description

Project Narrative

Project Budget:

Certification