FY 2027 Arts & Culture Funding Application
1. Email
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example@example.com
A. ORGANIZATIONAL INFORMATION
2. Organization
*
3. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
4. Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
5. Website
*
6. Executive Director Name
*
7. Application Preparer Name
*
8. Mission
*
9. Link
(Optional) Please list a link that would be helpful in better understanding your organization and its mission.
10 Link
Optional) Please list a second link that would be helpful in better understanding your organization and its mission. Link 1:
B. ORGANIZATIONAL GOVERNANCE
11. Are board members directly involved in formulating the organization's budget?
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Please Select
YES
NO
12. Are board members responsible for the final approval of the budget?
*
Please Select
YES
NO
13. It is required that board members contribute financially to your organization. Did 100% of the board members contribute financially to the organization last year?
*
Please Select
YES
NO
14. What year was your most recent strategic planning process?
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UPLOAD Note: For applications for amounts above $25,000, you must upload a copy of your strategic plan.
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15. Please list three goals established during your most recent strategic planning process that will improve programming for Roanoke residents in the next five years.
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16. Board attendance: Please complete the following table with the number of board members in attendance at each board meeting. For months in which no meeting was held, please put N/A in the field.
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Rows
Number
TOTAL NUMBER OF BOARD MEMBERS
January (Attendance)
February
March
April
May
June
July
August
September
October
November
December
Comments on Board Attendance
If your total board count has changed during the year, feel free to include that information here. You can also use this space describe changes or challenges you've had during the year.
C. BOARD AND STAFF DIVERSITY
17. Briefly (250 words or less) describe the organization's efforts to ensure diverse staff and board leadership. Please include any efforts you make to increase representation of your board and staff to ensure the best possible services to Roanoke's diverse population.
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0/250
18. BOARD Diversity 1: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
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Rows
Number of Board Members
Black/African American
Asian
Hispanic / Latino / Latina
Native American
White Caucasian
Other
TOTAL
19. BOARD Diversity 2: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
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Rows
Number of Board Members
Male
Female
Other
TOTAL
20. BOARD Diversity 3: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
*
Rows
Number of Board Members
Ages 14-17
Ages 18-29
Ages 30-49
Ages 50-69
Ages 70+
TOTAL
18. STAFF Diversity 1: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
*
Rows
Number of Staff Members
Black/African American
Asian
Hispanic / Latino / Latina
Native American
White Caucasian
Other
TOTAL
19. STAFF Diversity 2: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
*
Rows
Number of Staff Members
Male
Female
Other
TOTAL
20. STAFF Diversity 3: Please include the count of members in each category. A response is required in each field. If there are no members in a specific category, please enter 0.
*
Rows
Number of Staff Members
Ages 14-17
Ages 18-29
Ages 30-49
Ages 50-69
Ages 70+
TOTAL
D. ORGANIZATiONAL FINANCIAL OVERVIEW
24. Does the organization have an endowment?
*
Please Select
YES
NO
25. If yes, what is the size of the endowment as of December 31, 2025? (Put N/A if not applicable.)
*
26. Current Fiscal Year Structure (beginning and end dates: for instance July 1 through June 30)
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27. Total amount of current operating budget
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28. Gross Revenue Breakdown: Please include the percentages for the following categories of your total organizational budget for the last fiscal year. Amounts should add up to 100%.
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Rows
Percentage
Contributions / Donations
Earned Income
Grants
Unearned Income (Interest and Endowment Proceeds)
Membership Payments
Other
TOTA:
29. What is the amount of your current cash reserves?
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30. Within the last five years, has the organization ended two or more fiscal years with an operating deficit?
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Please Select
YES
NO
31. Please briefly (100 words or less) explain the circumstances of the operating deficit (if applicable). If there was no deficit, enter "N/A"
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0/400
32. Total number of volunteer hours accumulated in the last full fiscal year.
*
33. Total volunteer value accumulated in the last full fiscal year (at $34.79 / hour)
*
UPLOADS: Organizational Attachments
Certificate of Liability Insurance
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Most recent financial audit or signed financial documents
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Most recent IRS 990
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Signed and notarized representations and agreements
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VDACS Confirmation Letter
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VDACS Confirmation Letter of Form 100-F ""Virginia Exemption Application - Solicitations Confined to Five or Fewer Contiguous Cities and Counties"
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Board of directors list with contact information
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This is the final page in PART ONE: ORGANIZATIONAL INFORMATION.
You're ready to move on to PART TWO: PROGRAM INFORMATION. You must complete both parts to be eligible for funding.
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PART TWO: PROGRAM INFORMATION
A. Program Overview
34. Name of the arts and cultural program to be implemented.
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35. Describe the specific program for which you are seeking funding (400 words max).
*
36. How much are you requesting in program support from the City of Roanoke? (This amount should match the amount in your attached budget and should not exceed $30,000.)
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37. Who will benefit from the program? Please include demographic information and the expected number of participants. If you have conducted the program before, provide the demographic data on beneficiaries. (250 words max)
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38. Where will the programming take place? (200 words max)
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0/200
39. If another organization is providing a similar activity, which organization is doing so, and how does your program differ? What other organization (whether for-profit, nonprofit, or individual most closely meets the need. (250 words max)
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0/250
40. How will your program meet the identified need in the City of Roanoke? You may want to share your theory of change, philosophy, or approach here. (350 words max)
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0/350
41. How does this program align with the stated City priorities? Use City Plan 2040 or the 2011 Arts and Cultural Plan (linked at the top of www.roanokearts.org/2027ac) to describe the role of your program in advancing the community. The Roanoke Arts Commission is especially interested in how programming is advancing comprehensive components around interwoven equity, community health, and neighborhood reinvestment. (350 words max)
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0/350
B. Outreach Measures
Please review the guidelines on developing outcomes in PROGRAM OUTCOMES / QUARTERLY REPORT in the resources above.
42. How do you define the success of this program? (300 words max)
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0/300
43. What measurable outcomes are you tracking? What is your rationale for using these specific measures? (300 words max)
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0/300
Upload your outcome tracking form. This is your Quarterly Report form with your anticipated outcomes identified.
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44. How well has your organization succeeded in meeting your program outcomes in the past three years? (Please provide specific examples or data to support your claims. If this is a new program, describe outcomes and success of another implemented programs.) (300 words max)
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0/300
C. Innovation & Collaboration
45. How has your organization innovated or adapted to increase its program impacts in the past 3 years? (Please provide specific strategies or approaches.) (300 words max)
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0/300
46. List up to five organizations or entities you will collaborate with for this program. Identify your key contact at the entity and describe how each collaboration will help make your program more effective. (300 words max)
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0/300
If you are collaborating with Roanoke City Public Schools for this program, please upload the required collaboration form outlining your agreement and signed by both organizations.
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D. Organizational Capacity to Complete the Program
47. Describe your organization's relevant experience, expertise, or resources that will contribute to the program's success. (400 word max.)
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0/400
48. What is your organization hoping to learn in carrying out the program this year? What current challenges or barriers to success will you have to overcome in implementing this program? (350 words max)
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0/350
E. Program Budget
Please upload your proposed FY2027 program budgets using the required budget worksheet. If the program is being conducted in the current year, please include the FY 2026 budget information as well. If it is the first year for your organization's application, leave the prior year's budget blank.
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49. Please describe how you will engage volunteers for the implementation of the program.
*
50. Additional information otherwise not captured above.
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This is the final page. Only press the submit button when you have completely finished your application and are ready to submit. You can save your responses and return for review. Upon submission, you will receive an email with your responses.
Type your name to stand in for the signature of the preparer.
*
By typing your name you certify that the application represents the current state of the organization to the best of your knowledge and ability.
Type your name to stand in for the signature of the executive director.
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By typing your name you certify that the application represents the current state of the organization to the best of your knowledge and ability. Multiple reviewers can use your unique link to review and contribute to the application until the final submission.
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