Thank you for your interest in applying for this grant. During the application process, please do not use your browser’s “Back” or “Next” buttons. Use the blue buttons at the bottom of the form. You may go back and forth to change your answers, but we cannot save partially completed forms. Please complete the entire form in one sitting.

Grassroots Grant Application

**Note to Applicants** This online application will allow you to save work and return to it later, but you can't move forward until you have completed a section. We know that can be a challenge. For this reason, we've provided a reference copy of what you can expect in the application for your planning purposes at this link: http://tinyurl.com/hswow77

1Organization Information

2Request Description

3Project Questions

4Budget Information

5Organization Mission & Strategy

6Organizational Demographics

7Financial Information

8Grant Acknowledgement Opportunities

Name of Applicant Organization*
Date Organization Founded*
Month
Day
Year
Fiscal Year End Date*
MM slash DD slash YYYY
Website
Link to your Org's Facebook Page
If you don't have a Facebook page, please skip this question.
Link to your Org's Twitter
If you don't have a Twitter account, please skip this question.
Link to your Org's Instagram
If you don't have an Instagram account, please skip this question.
Address*
Street Address Address Line 2 City State ZIP Code
Please upload your organization's 501(c)(3) letter*
Max. file size: 50 MB.
Contact Person's Name*
First Last
Contact Person's Title
Email*
Work Phone*
Home Phone
Cell Phone*
Fax

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Grant Amount Requested*
Project Start Date*
No earlier than July 1, 2022
MM slash DD slash YYYY
Project End Date*
No later than June 30, 2023
MM slash DD slash YYYY
Project County*

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Please answer the following questions

Be concise and specific. No need to add flowery language! Remember that your panelists have a lot to read. Besides, you have plenty of other work to do, right?
1a. Project Title*
120 character max
1b. Enter a one sentence description of your project:*
250 character max
2. What are the two most important goals of your project?*
450 character max. Please write these in two numbered "To" phrases, as in: 1) To reach every community in Chatham County. 2) To pay our artists for the first time ever. (These do not have to be your goals. This is just how we want to see them written.)
3. What are the demographics—including estimated total numbers—of your intended participants?*
600 character max. Include racial/ethnic, geographic, age, gender, and other if desired. Participants are anyone who is part of the project (audience, artist, staff, etc.).
4. Where will the project take place?*
400 character max
5. What are the project activities? Please describe each activity of the project in three sentences or less.*
1500 character max
6. Who are the artists to be involved in the project, how and why they were chosen, and what will be the rate of payment for their services? (If you have not yet selected the artists, please describe the kinds of artists you intend to involve and how you will select them.)*
This is important. Just want to emphasize that. 1000 character max
7. How do you plan to publicize and promote your project to reach intended participants? Please use a specific, clear list to answer this question.*
(Example: “Communication with our members” is okay. “Email blasts to members” is good. “Four email blasts to our 650 members” is awesome.) 1000 character max
How has your work changed, evolved, or shifted due to the pandemic? Please talk about how your project can adapt to potential shifts in the COVID landscape--and how you are applying discoveries made during the pandemic.*
3000 character max
8. What are three measurable statements by which you will evaluate this project?*
(Example: “We have strong attendance” is not so fabulous. “More young people come than last year” is better. “At least 15% of our audience is under 50” is awesome.) 600 character max
9. What are your top three strategies for creating a quality arts experience right now? Please describe each in two sentences or less.*
1200 character max
10. In two sentences, what is the biggest lesson you learned from the last time you conducted this (or a similar) project? In three or four more sentences, what will you do this time to improve?*
1200 character max
11. In up to three sentences, how do you plan to maintain or develop racial/ethnic inclusion in this project?*
600 character max
12. In five sentences or less, how is your project and/or work unique and necessary in Chatham County?*
This one is a big deal, too, y’all. 1000 character max

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Project Budget

Please provide a projected budget for your proposed activity utilizing the format below. If this is an operating grant this budget will be your FY22 annual budget.
Total Project Expenses
Personnel: Administrative Staff*
Personnel: Artistic Staff*
Personnel: Technical/Production Staff*
Outside Fees and Services: Artist Contracts*
Outside Fees and Services: Other Contracts*
Space Rental*
Travel*
Marketing*
Remaining Project Expenses*
If you entered an amount for Remaining Project Expenses, please describe what those include below.
Total Project Expenses*
Grant Request Allocation
This will tell us which of the above project expenses you plan to pay with this Grassroots Arts Grant.
Personnel: Administrative Staff*
Personnel: Artistic Staff*
Personnel: Technical/Production Staff*
Outside Fees and Services: Artist Contracts*
Outside Fees and Services: Other Contracts*
Space Rental*
Travel*
Marketing*
Remaining Project Expenses*
If you entered an amount for Remaining Project Expenses, please describe what those include below.
Total Grant Request*
Be sure this matches the amount of your grant request on page 2 of this application!
Project Expense Summary
Total Project Expense*
Be sure this matches the total project expense you entered earlier on this page!
Total Grant Request*
Be sure this matches the amount of your grant request earlier on this page!
Total Applicant Cash Contribution*
This is the amount your organization will be putting toward the project from other grants, donations, or assets. Super important: This amount MUST be greater than or equal to the grant request amount. Also super important: This applicant cash contribution plus the total grant request amount should equal the total project expense amount.
Project Income Summary
Admissions*
Contracted Services Revenue*
Other Earned Revenue*
Private Support: Corporate*
Private Support: Foundation*
Private Support: Individual*
Private Support: Other*
Government Support: Federal*
Government Support: State/Regional*
Not including this Grassroots Arts Grant request.
Government Support: Local*
Applicant Cash*
This is assets you already have on hand.
Total Grant Request Amount*
In this application!
Total Project Income*
This number should equal the Total Project Expense amount entered earlier on this page.

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Organization Budget Statements

Please attach complete income and expense statement (an audit may be substituted) for your last completed fiscal year and complete operating budgets for the current fiscal year. Public schools and other large governmental or community agencies should attach arts program financial information only. Please copy the totals from these attachments in the spaces below.
Last Year's Financials
Fiscal Year 2021 Actual Income*
Fiscal Year 2021 Actual Expenses*
Upload 2021 Financial Statement (Income/Expense)
Max. file size: 50 MB.
This Year's Financials
Fiscal Year 2022 Actual Income*
It's okay if your FY22 is still in progress or it's just ended and you only have draft numbers so far. Just note that on your statement.
Fiscal Year 2022 Actual Expenses*
It's okay if your FY22 is still in progress or it's just ended and you only have draft numbers so far. Just note that on your statement.
Upload FY2022 Budget
Max. file size: 50 MB.

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Does your organization have a business plan or strategic plan?*
- Yes
- No
Please upload your business/strategic plan.
Max. file size: 50 MB.
What is your organization's mission?*
300 characters max
In what year did your organization form?*
In ten words or less, who does your organization primarily serve?*
List your most important two or three programs/services, and describe each with one or two great sentences only.*
600 characters max

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Please provide the information in items 7, 8, 9, + 10 for your most recently closed fiscal year for your organization—not just your project. If you don’t have exact numbers, please estimate to the best of your ability.
7. Audience / Participants
Total annual number of audience/participants for all arts programs and activities:*
Of this number, approximately what percent are:
Black/African American*
Please enter a number less than or equal to 100.
Asian/Asian American*
Please enter a number less than or equal to 100.
Native American/Alaska Native*
Please enter a number less than or equal to 100.
Native Hawaiian/Pacific Islander*
Please enter a number less than or equal to 100.
Hispanic/Latino*
Please enter a number less than or equal to 100.
White, not Hispanic*
Please enter a number less than or equal to 100.
Multi-racial*
Please enter a number less than or equal to 100.
Total
Of the total number of participants, approximately what percent are:
Residents of Southwest Chatham*
Includes Bennett, Bear Creek, Bonlee, and Goldston
Please enter a number less than or equal to 100.
Residents of Southeast Chatham*
Includes Moncure and a small part of Apex
Please enter a number less than or equal to 100.
Residents of Northwest Chatham*
Includes Silk Hope and Siler City
Please enter a number less than or equal to 100.
Residents of Northeast Chatham*
Includes Pittsboro, Bynum, parts of Chapel, parts of Apex, and a small part of Cary
Please enter a number less than or equal to 100.
Folks from outside Chatham County*
Please enter a number less than or equal to 100.
8. Volunteers
Approximate total number of volunteers working with your organization annually:*
Approximate Total Number of Hours contributed by volunteers annually:*
9. Staff / Contractors
Total number of full-time employees*
Total number of part-time employees*
Total number of artists under contract*
Total amount paid to artists under contract*
Of the total number of staff/contractors, how many are:
Black/African American*
Asian/Asian American*
Native American/Alaska Native*
Native Hawaiian/Pacific Islander*
Hispanic/Latino*
White, not Hispanic*
Multi-racial*
10. Board
Total number of board members:*
Please upload a one-page current list of your Board of Directors with their affiliations*
Max. file size: 50 MB.
Of the total number of board members, how many are:
Black/African American*
Asian/Asian American*
Native American/Alaska Native*
Native Hawaiian/Pacific Islander*
Hispanic/Latino*
White, not Hispanic*
Multi-racial*

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Additional Information*
If there is relevant information you haven't been able to share elsewhere in the application, please share it here. 600 characters max.
Certification
We understand that failure to respond to any of the above items may adversely affect the consideration of this application. We certify that we are committed to the completion of the proposed project in compliance with legal requirements and granting procedures. We certify that the information contained in this application, including attachments and supporting materials, is true and correct to the best of our knowledge.*
- We Agree
Name of Authorizing Official*
Position of Authorizing Official*
Name of Contact Person*
Position of Contact Person*
Today's Date*
Month
Day
Year
You did it! Thank you for applying for a Grassroots Arts Grant this year. Our panelists will read everything carefully. You will receive an email copy of your application and a separate email confirming receipt of your application in our office. Good luck!
Email
This field is for validation purposes and should be left unchanged.

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Grant Applications

Grassroots Grant Application

Total Project Expenses

Grant Request Allocation

Project Expense Summary

Project Income Summary

Last Year's Financials

This Year's Financials

7. Audience / Participants

8. Volunteers

9. Staff / Contractors

10. Board

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