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DocuSign Envelope ID:914D8A8E-A05B-425D-A60B-D2D4C2FE5054 <br /> ,01(/ <br /> Joe <br /> (00:001 <br /> 2017-18 GRANT APPLICATION COVERSHEET <br /> NC Arts in Action <br /> Date Received: 5/26/17 Date Notified Complete: 5/26/17 <br /> Project Title: <br /> Rashkis Elementary Program Date: Sept 17-June 18 <br /> Use of Fund Artistic Staff <br /> NCAC Funding Priority: El E 2nd D 3rd <br /> 3000 <br /> NCAC Multicultural Requirement? E Yes Am $ <br /> ount 0 No <br /> Total number served: 100 4th grade students <br /> CHCCS Chapel Hill <br /> Community served: <br /> 30 FL <br /> Demographics: % R <br /> CHECKLIST <br /> EI Completed application form with E Bud:et FY17-18 <br /> signatures Board List <br /> • Narrative M Tax exemption letter <br /> Project Budget worksheet Sample publicity <br /> Resumes of key artists/instructors E Work samples <br /> Financials: FY1546 • Letters of support Olot reppred) <br /> ▪ Financials: FY16-17 <br /> AMOUNT REQUESTED: $3000 AMOUNT GRANTED: <br /> FINAL SCORE: <br />