Grassroots Arts Program
Subgrant Application FY 2024-2025
I. Organization Information
Name of Organization
*
Contact Person's Name
*
Contact Person's Title
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Work Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Website
*
Organization's EIN
*
Organization's UEI Number
Applicant Race
*
Please give a brief description of your organization, including mission, board and staff composition, 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.
*
0/3000
Have you applied or are you planning to apply for a grant directly from the NC Arts Council for fiscal year 2024-2025? Please check all that apply.
*
Sustaining Support for Arts Organizations
Project Support Grants
I am not applying for either of these grants for fiscal year 2024-2025
Organization Finances
Please attach complete income and expense statement (an audit may be substituted) for your last fiscal year as a PDF file. Public schools and other large governmental or community agencies should attach arts program financial information only. Please copy the totals from this attachment in the spaces below.
*
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FY 2022-2023 - Actual Income
*
FY 2022-2023 - Actual Expenses
*
Please attach complete operating budget for the current fiscal year as a PDF file. Public schools and other large governmental or community agencies should attach arts program financial information only. Please copy the totals from this attachment in the spaces below.
*
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FY 2023-2024 - Budget Income
*
FY 2023-2024 - Budget Expenses
*
Please attach complete operating budget for the next fiscal year as a PDF file. Public schools and other large governmental or community agencies should attach arts program financial information only. Please copy the totals from this attachment in the spaces below.
*
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FY 2024-2025 - Projected Income
*
FY 2024-2025 - Projected Expenses
*
II. Project Description
Grant Amount Requested
*
Project Start Date (No earlier than July 2024)
*
-
Month
-
Day
Year
Date
Project End Date (No later than June 15, 2025)
*
-
Month
-
Day
Year
Date
Project Narrative
Please provide the information requested below for the project you propose. Please be concise and specific as possible:
1. Project title or summary description
*
0/500
2. Project goals
*
0/3000
3. Description of intended participants/audience, including estimated numbers and racial and cultural composition
*
0/3000
4. Location where project will take place
*
0/3000
5. Description of project activities
*
0/3000
6. Description of the artists to be involved in the project, how and why they were chosen and, if appropriate, 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.)
*
0/3000
7. Description of how the project will be publicized and promoted to reach intended participants
*
0/3000
8. Description of how you will evaluate the project
*
0/3000
III. Project Budget
Please provide a projected budget for your proposed project utilizing the format below. For Project Expenses, please list all expenses for your project by the provided categories, breaking down which expenses will be funded by the grant in the left column (Grant Amount Requested) and all other expenses in the center column (Applicant Cash Match). Your Cash Expenses for each category will automatically calculate in the right column (Cash Expenses).
Project Expenses
*
Grant Amount Requested
Applicant Cash Match
= Cash Expenses
Administrative Staff
Artistic Staff
Technical/Production Staff
Artistic Contracts
Other Contracts
Space Rental
Travel
Marketing
Remaining Project Expenses
Total Cash Expenses
Project Income
*
Income
Admissions
Contracted Services Revenue
Other Revenue
Corporate Support
Foundation Support
Other Private Support
Federal Support
State/Regional Support
Local Support
Applicant Cash
Grant Amount Requested in this application
Total Cash Income (Must at least equal Total Cash Expenses, above)
IV. Certification
We understand that failure to respond to any of the above items may adversely affect the consideration of this application. We certify that we are committed to the completion of the proposed project in compliance 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 of Authorizing Official
*
Title of Authorizing Official
*
Date
*
-
Month
-
Day
Year
Date
Signature of Contact Person
*
Name of Contact Person
*
Title of Contact Person
*
Date
*
-
Month
-
Day
Year
Date
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