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SCR' 23 Final Report Form
Please submit your final report within 30 days of the completion of the funded project. Only this file will be accepted as your final report. No hard copies will be accepted. If you have newspaper clippings, programs, etc, please scan these and upload them to the application. All Addendum are required to be answered. If you have any questions, please contact Emily Dowd at edowd@huntingtonarts.org, Patty Eljaiek peljaiek@huntingtonarts.org or 631-271-8423 ext. 118
Organization/Artist Name
*
Tax ID Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Director's Name (If Applicable)
Director's Phone Number (If Applicable)
Please enter a valid phone number.
Contact Name for Grant
*
Contact Phone Number for Grant
*
Please enter a valid phone number.
Contact Email for Grant
*
example@example.com
Grant Amount
*
Project Title
*
Please list all other grant awards received. Include funding amount. If applicable.
*
If not applicable use N/A
Project Category
*
Please Select
Creative Communities
Creative Individuals
Creative Learning IN SCHOOL
Creative Learning After School/Community Centers
Please select whether you received Creative Communities, Learning, or Individual
Dates of Project
*
Number of Artists Compensated
*
Audience Demographic
*
Total number of audience members that attended or students that participated, in the funded program.
*
This refers to your audience/participants NOT the artists, musicians, performers etc.
Ticket Price (Dollar Amount)
If free, write 0.
Zip code of where the granted program took place.
*
This is the zip code of where the final program/exhibit/performance took place.
Addendum #1
*
Describe how your organization performed the services agreed to in the Statewide Community Regrant Contract.
Addendum #2
*
How did your project fill an artistic need in the community? How did the community support the project?
Addendum #3
*
Describe your outreach efforts to under-served/minority populations.
Addendum #4, Part 1
*
Describe how you publicized the funded project.
Addendum #5 Publicity/Marketing/Promotion/Final Budget etc.
*
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Select up to 5 files to attach. No files have been attached yet. You may add 5 more files.Acceptable file types: .pdf, .doc, .docx, .xls, .xlsxProvide a budget breakdown of the project which reflects expenses and income.
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RECEIPTS/INVOICES/CANCELLED CHECKS
*
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Please upload all receipts for expenses associated with the grnt funds awarded ONLY. Upload any invoices and or cancelled checks if applicable. You may upload screenshots of credit card and/or digital payments, please crop or black out any personal information before uploading.
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Addendum #6 Images from the event/program are required
*
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Select up to 10 files to attach. No files have been attached yet. You may add 10 more files.Acceptable file types: .pdf, .doc, .docx, .jpg, .jpeg, .gif, .png, .svg, .mp3, .mp4, .mov, .mpgPlease provide high resolution images or video for your funded project.
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