Artists in the Schools
| FOR OFFICE USE ONLY | ||
| Grant # _______________ | Due Date _______________ | Date Rcvd _______________ |
| Award _______________ | Profit (Loss) _______________ | Credit Line _______________ |
| Audience _______________ | Artists _______________ | Approved _______________ |
| Comments: |
This form is due within 60 days of project completion. This form must be printed and mailed to our office with required signatures and attachment depicting the use of the credit line. On purpose, there is no SEND button.
| 1.
School (Name, Address,
City, Zip) Phone Contact Name |
2.
Artist(s) Name Dates of School Activities Dates of Community Activity |
| 3.
Brief Project Description |
4. Actual Participant and Audience Numbers
Student Participants/Audience Adult Audience |
5. List your project goals as
described in your application and indicate how well those goals were met.
Describe the project's impact on your school and on the community.
6. Did the project differ from the description in the grant application or
lesson plan in any way?
7. What methods did you use to evaluate your project? (Examples: Size of audience, participant
questionnaires, personal observations of activities, etc.)8. a. Describe the publicity and promotional efforts for this project.
b. Submit evidence of use of the credit line described on the
Arts Grant Contract.
c. Attach any information such as schedule of activities,
photos, clippings, programs, etc.
9. Name and describe the participation of other groups involved as co-sponsors or recipients of
specific services.10. Budget
| Estimated | Actual | |
| Artist Fees | $ | $ |
| Supplies and Materials | $ | $ |
| Transportation and Subsistence | $ | $ |
| Publicity | $ | $ |
| TOTAL PROJECT COST | $ | $ |
| CASH MATCH | $ | $ |
| NWRDC GRANT | $ | $ |
| TOTAL SUPPORT FOR PROJECT | $ | $ |
Please describe any changes
between the estimated and actual figures below.
11. Provide any suggestions for
improved NWRDC services.
12. Certification: We certify the information in this report is true and correct to the best of our knowledge. Make sure two different people sign off for the project with original signatures.
| Typed Name | Title | Signature | Date | |
| Authorizing Official | ||||
| Project Director |