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DocuSign Envelope ID: 1732F087-2E47-4F14-BEFD-43DC5AA7123A <br /> :' <br /> 5. APPLICATION CHECKLIST (in this order; do not staple, bind, or put into individual folders) <br /> One copy: I sided, 8 1/2"x 11'; white paper <br /> ❑ Application Form, including signatures <br /> ❑ Narrative <br /> ❑ Budget Sheet <br /> ❑ Itemized Budget (if necessary) <br /> ❑ Resumes of key artists and administrators involved in grant funded program(s) <br /> ❑ Organizational Budget for current AND past two fiscal years <br /> ❑ Artist contact list, including names, address, phone numbers, and email (if applicable) of 1, <br /> all artists involved in grant funded activities <br /> ❑ Staff roster with position title(s) <br /> ❑ Board contact list, including names, address, phone numbers, and email (if applicable) <br /> of organization's board of directors <br /> ❑ Copy of IRS Tax Exemption Letter <br /> ❑ Sample programs, press, or other materials from this or similar past programs <br /> ❑ Sample work by artist (labeled with artists' name, title of work, date of work) produced in <br /> the last three years: <br /> • Visual artists: CD, DVD, or high resolution photographs (5-10 images). Clearly label <br /> each piece with dimensions and media and indicate top of image <br /> • Dance or theater artist: CD or DVD, or link to high-quality online video (3-5 minutes) <br /> • Music and spoken word: CD , MP3 or link to high-quality online video (3-5 minutes) <br /> • Literary arts: Manuscript(10-15 pages) submitted as .pdf file or hard copy , <br /> 6. SIGNATURES <br /> Typed or Printed Name— Project Director: Sarah Baron <br /> if <br /> t."„...47 joiropr- ______ <br /> valz U1/41/& <br /> Signature of Project Director Date ,r <br /> f <br /> Typ • ••r Printed N e—Authorizing Official: Pam Bash <br /> / , -.7 /6?/5/1 ie <br /> ignature of Aut orizing Official Date <br />