2025-26 Grassroots Arts Program Subgrant Application

Grassroots Arts Program

Subgrant Application Form
I. Organizational Information
Legal Name of Organization*
Name of Fiscal Agent, if Applicable
Contact Person's Name*

First NameLast Name
Contact Person's Title:*
The Contact Person is the individual preparing and submitting the form. Any questions about the project or information submitted will generally be directed to the Contact Person.
Contact Person's Phone Number*
Please enter a valid phone number.
Contact Person's Email Address*
example@example.com
Authorizing Official's Name*

First NameLast Name
Authorizing Official's Title:*
The Authorizing Official is typically the Board Chair, President or School Principal but may be delegated to another official as designated by the organization's structure or bylaws.
Authorizing Official's Phone Number*
Please enter a valid phone number.
Authorizing Official's Email Address*
example@example.com
Organization's Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Applicant Race*
Choose the race that best represents 50% or more of the organization's staff, board or membership.
Website
example.com
Organization's EIN*
Organization's UEI
Please give a brief description of your organization's mission. *

0/200
What are the number and kinds of people that your organization serves?*

0/100
Please give a brief description of your organization's current arts programs and services. Public schools and other large governmental or community agencies should provide a description of their arts program only rather than the entire organization.*

0/200

Please provide an overview of your Board & Staff composition.*

	Board Members	Staff
Total Number
% Asian
% Black/African American
% Hispanic/Latino
% Native American/Alaska Native
% Native Hawaiian/Pacific Islander
% White
Total Percent (should add to 100%)

Organization Financial Statement

Use the "Grassroots Arts Program Subgrant Application - Organization Financial Statement" template to present your income and expense information for the previous, current and upcoming fiscal years.

Download the template.
Please complete and upload the "Grassroots Arts Program Subgrant Application - Organization Financial Statement" template. This includes a complete income and expense statement from your most recently completed fiscal year and complete operating budgets for the current and next fiscal years. Public schools and other large governmental or community agencies need only complete the financial information as it relates to their arts program. *

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II. Project Questions

Please be concise. Answers should clearly describe the project for which funds are being requested.
What is the Project Title?*
Please provide a short description of your project.*

0/150
Grant Amount Requested:*
Project Start Date:*

MonthDayYear
Date
Project End Date:*

MonthDayYear
Date
Describe the project's goals?*

0/250
Please describe the intended participants including estimated number.*
A participant is anyone who is part of the project; these include the audience, artists, consultants, volunteers, staff, etc.

Please estimate the racial composition of the intended participants.*

	Participant Composition
% Asian
% Black/African American
% Hispanic/Latino
% Native American/Alaska Native
% Native Hawaiian/Pacific Islander
% White
Total Percent (should add to 100%)

Where will the project take place and on what dates?*

0/150
Describe the project activities? *

0/300
Who are the artists involved in the project? How and why were they chosen? What will be 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. Please also indicate their race.*

Applicants are required to prominently display on-site and, in all publicity and printed materials the logos and credit line of North Carolina Arts Council and The Lee County Arts Council.0/300
How will the project be publicized and promoted to reach intended participants?*

Note: The logos and credit line of North Carolina Arts Council and The Lee County Arts Council must be prominently displayed on-site and, in all publicity and printed materials.0/150
Describe how you will evaluate the project?*

0/150
Project Budget

Use the "Grassroots Arts Program Subgrant Application - Project Budget" template to present your project's income and expense information.

Download the template.
Please complete and upload the "Grassroots Arts Program Subgrant Application - Project Budget" template. This provides a projected budget for your proposed project. *

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Additional Supporting Documents. You may attach additional supporting documentation that you feel helps demonstrate the work associated with this proposal. This is not required. The accepted file types are pdf, doc, docx, xls, xlsx, jpg, and png.

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III. Certification

I understand that failure to respond to any of the above items may adversely affect the consideration of this application. I certify that I am committed to the completion of the proposed project in compliance with legal requirements and granting procedures. I certify that the information contained in this application, including attachments and supporting materials, is true and correct to the best of my knowledge.
Signature of Contact Person:*

Powered by Jotform SignClear
Date Signed:

MonthDayYear
Date
To save your application for future use, click SAVE below. Clicking SAVE does NOT SUBMIT your application.

When you are ready to submit the application to The Lee County Arts Council, click CONTINUE. A Consent Disclosure dialog box will appear inviting you to sign the document. Click SIGN DOCUMENT and your signed application will be submitted.

We recommend that you review your application one last time before selecting CONTINUE to confirm that all required responses and attachments are present.

After submission, you will receive a confirmation email with your application attached. If you do not, check your spam/junk folder. If you still do not see an email confirmation, please contact leecountyarts@gmail.com for assistance.

After submission, the Authorizing Official will also be contacted and requested to certify the application.
Should be Empty:

Grassroots Arts Program

I. Organizational Information

II. Project Questions

III. Certification