DCA Cultural Grants Program - Grantee Public Activity/ Event Notification Form

PUBLIC ACTIVITY PROMOTION - NOTIFICATION FORM
Because you have signed a contract to use tax dollars for publicly accessible programs, DCA needs 30-day advance notice of all directly-funded, matching, and related services for which you/your organization wishes to receive:
- reimbursements,
- matching credit,
- a site visit from a DCA Grants Office staff member,
- optional recognition on DCA’s website,
- optional co-promotion on civic calendars (such as those produced by individual Council Members and the Mayor’s Office), and/or
- optional assistance with personal invitations to elected officials and/or their representatives.
Credit to DCA is required on forthcoming promotional materials for the activity (or activities) you are describing/ submitting with this system.

NOTE: When LA residents and tourists see the DCA logo associated with activities, they will/do expect DCA to provide: pre- or post-activity, grant-award context, prospective-attendee logistical advice, and/or speculative outcomes. When you associate the DCA logo with projects (especially on your individual and/or organization's website), please be responsible to keep us suitably informed!

Please submit this form 30-days before the described activity, or at least at a later date when all information is confirmed, since late is better than not at all. It is DCA’s prerogative, depending upon timing and consideration, whether the information submitted will result in optional promotions to City Hall.
GRANTEE INFORMATION
Nonprofit Arts Organization GrantIndividual Artist Fellowship or Grant
Name of Organization or Collective
Name of Individual Artist
City of LA DCA Legal Contract #:
Please enter Contract # TBD if your contract is still pending processing.
Grantee Contact Person
Full Name

PrefixFirst NameLast Name
Title
Phone Number

Area CodePhone Number
Phone Number at Service Site (alternate)

Area CodePhone Number
Contact E-mail
Activity Contact Person (if different from Grantee Contact Person listed above)
Full Name

PrefixFirst NameLast Name
Title
Phone Number

Area CodePhone Number
Phone Number at Service Site (alternate)

Area CodePhone Number
E-mail (a copy of the Notification Form will be sent to this e-mail address) *

Confirmation Email
PUBLIC ACTIVITY/EVENT INFORMATION
Activity Title
Brief Description of Activity (maximum of 3-5 sentences or 500 characters). This may be used verbatim by DCA as public information.
Newsworthy Elements/Aspects:
Activity Date & Time

MonthDayYear
Start

:HourMinutesAM/PM Option
End

:HourMinutesAM/PM Option
ACTIVITY LOCATION/VENUE INFORMATION

Please name only one location (as if directing an elected official to a specific meeting point). If your event has multiple locations please consider filling out a separate form for each subsequent activity/meeting point.
Activity Location

Location/Venue Name

Street Address

CityState / Province

Postal / Zip Code
LA Council District #:
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Major Cross-streets:
Seating/ Participation Capacity:
Parking Cost (if applicable):
Parking/Transport (special instructions/ recommendations)
TICKET/REGISTRATION INFORMATION
YesNo
Please provide registration details (e.g. methods to RSVP, any fees, etc.):
Upon requestNo
How many seats?
YesNoUnsure
If possibleNo
OUTREACH AND PROMOTION INFORMATION
YesNo
Please indicate the social media platforms, website urls, and other ways people can connect to the activity/event (e.g. hashtags)
YesNo
DCA FacebookDCA TwitterDCA Email/ ListservDCA WebsiteDCA NewsletterDCA Event CalendarDCA InstagramDCA Affiliates or PartnersOther
IMAGES AND PUBLICITY ITEMS

Please attach, if available, an example of publicity material being used for this event, such as a flyer, press release, poster, etc:
Upload publicity item(s):

Upload a File

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Please attach no more than three (3) promotional images DCA can use or archive. Digital images must be in JPEG file format and total size of uploaded image files should not exceed 5MB. (Please include any/all photo credits in the file name.)
Upload image #1:

Upload a File

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Upload image #2:

Upload a File

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Upload image #3:

Upload a File

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*Please review all information provided before submitting form.
Should be Empty:

PUBLIC ACTIVITY PROMOTION - NOTIFICATION FORM

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