final fa general grant application form

1
GENERAL ARTS GRANT APPLICATION Applications are available at the Flagler Auditorium or on the website at www.flaglerauditorium.org (click on 'Schools & Community' then click on 'Scholarships and Grants'). This grant form should not be used for applications for Scholarships or the 'Florida State if the Arts', each of which have their own forms. Applications should be in easily readable font or neatly handwritten. Grant applications must be submitted via (a) mail to Lisa McDevitt, Director, Flagler Auditorium, P.O. Box 755, Bunnell, FL 32110-0755 or (b) e-mail to [email protected] Title of Grant Request____________________________________________________ Amount Requested____________________Full, partial or matching grant?__________ Name_________________________________________________________________ Address_______________________________________________________________ City ____________________ State _____________ Zip________________________ ________________________Phone ___________________ Cell _________________ Email_________________________________________________________________ Have you received a Board grant in the past three years? Yes___ No___ If yes, for what project(s) and what were the dates for the project? Please describe the following in up to one page: 1. what your proposed project/need is and your goals 2. how grant funds will be used 3. total cost : $ ____________ 4. amount requested for this grant $___________ 5. itemize grant costs 6. name any additional sources and funds for the project and whether or not this funding has been secured 7. Back up material for detail A final report on the project may be requested by the Flagler Auditorium Governing Board at their discretion. Acceptance of a grant signifies your agreement to do this. Organizations other than Flagler County public schools These should also provide a copy of the IRS letter of current tax-exempt status. Applicant Signature_________________________________ Date________________

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Page 1: Final FA General Grant Application Form

GENERAL ARTS GRANT APPLICATION

Applications are available at the Flagler Auditorium or on the website at

www.flaglerauditorium.org (click on 'Schools & Community' then click on 'Scholarships and

Grants'). This grant form should not be used for applications for Scholarships or the 'Florida

State if the Arts', each of which have their own forms.

Applications should be in easily readable font or neatly handwritten. Grant applications must be

submitted via (a) mail to Lisa McDevitt, Director, Flagler Auditorium, P.O. Box 755, Bunnell,

FL 32110-0755 or (b) e-mail to [email protected]

Title of Grant Request____________________________________________________

Amount Requested____________________Full, partial or matching grant?__________

Name_________________________________________________________________

Address_______________________________________________________________

City ____________________ State _____________ Zip________________________

________________________Phone ___________________ Cell _________________

Email_________________________________________________________________

Have you received a Board grant in the past three years? Yes___ No___

If yes, for what project(s) and what were the dates for the project?

Please describe the following in up to one page:

1. what your proposed project/need is and your goals

2. how grant funds will be used

3. total cost : $ ____________

4. amount requested for this grant $___________

5. itemize grant costs

6. name any additional sources and funds for the project and whether or not this

funding has been secured

7. Back up material for detail

A final report on the project may be requested by the Flagler Auditorium

Governing Board at their discretion. Acceptance of a grant signifies your

agreement to do this.

Organizations other than Flagler County public schools

These should also provide a copy of the IRS letter of current tax-exempt status.

Applicant Signature_________________________________ Date________________