Grassroots Arts Program Subgrant Report Form
Please complete this report to update your funding agency on your project progress and outcomes.
Fiscal Year
Fiscal Year From
*
Fiscal Year To
*
Organization Information
Name of Organization
*
Contact Person's Name
*
First Name
Middle Name
Last Name
Contact Person's Title
Mailing Address
City
State
Please Select
North Carolina
Zip Code
County
Work Phone
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail Address
*
example@example.com
Website
Organization's EIN
Organization's UEI
Project Description Narrative
Project Description
*
Did 50% or more of this project's activities involve arts education; increasing knowledge and skills in the arts to grades Pre-K – 12?
*
Yes
No
Did 50% or more of the award support the community representation requirement?
*
Yes
No
Project Budget
Grassroots Arts Program subgrants require a 1:1 match. Please include all funds required to complete the funded project.
Grant Amount ($)
*
Matching Funds ($)
*
Total Project Budget ($)
*
Project Expenses
*
Rows
Grassroots Grant
Matching Funds
Staff – Administrative
Staff – Artistic
Staff – Technical Production
Artistic Contracts
Other Contracts
Space Rental
Travel
Marketing
Remaining Project Expenses
Total Expense Totals
Project Expenses
Participation Statistics
Total number of adults engaged in person
*
Total number of children/youth engaged in person
*
How many artists were directly involved?
*
Grassroots Arts Program Subgrant History
Has your organization ever received a Grassroots Arts Program subgrant prior to this current fiscal year?
*
Yes
No
What type of organization are you?
*
Please Select
Arts
Community
School
Municipality
Attachments
Attach materials used for project publicity, printed materials with NC Arts Council credit/logo, articles, reviews, etc.
*
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Attach copies of letters or emails sent to legislators expressing appreciation of this grant.
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Attach a list including names, addresses, and art forms of participating artists and arts organizations.
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Signature
*
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