Public Art Project
Final Application Form

Northwest Regional Arts Council - NWRDC - 115 South Main - Warren, MN 56762


1. Applicant Organization (Name, Address, City, Zip)



Day Phone
2. Project Director (Name, Address, City, Zip)



Day Phone
3. Fiscal Agent (Name, Address, City, Zip)



Day Phone
(If applicable a contract must be enclosed.)
4. Artist (Name, Address, City, Zip)



Day Phone

5. A model to scale of the proposed public artwork will be presented to the Regional Arts Council, at one of their upcoming meetings, within 6 months of your first approval date.  Detailed drawings may also be submitted for review. Please have the artist be very specific.

6. Please fill in your proposed dates related to project completion.

Presentation of model
Project start date Proposed installation date
Project end date Proposed unveiling for public
(Often is set one week after the unveiling)

7. Indicate how you will promote and publicize the project.


FOR OFFICE USE ONLY Date Rcvd _______________ Application # _______________
Comments:    Award Date _______________

8. State below the other community members who will be involved in the planning and with the artist in the creation of the artwork including student, adult and senior citizen's groups. This is an important part of the public art program.

9. Work closely with your artist to create a preliminary budget for the project keeping in mind that the maximum grant request in this program is $5,000.00. Encourage your artist to be realistic and specific about expenses. (You might want to create a contract with your artist to ensure their ability to stay within budget.) If you are looking for additional support, include the amounts of money which have been secured or will be requested from other sources.


7. Certification: We certify the information in this application 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
Fiscal Agent
Project Director