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DocuSign Envelope ID:2E407B29-3C97-401B-BDOA-E5978859CCA6 <br /> 111 / <br /> 201718 GRANT APPLICATION COVERSHEET <br /> Applicant: Boomerang Youth <br /> Date Received: 6/2/17 Date Notified Complete: 6/2/17 <br /> Project Title: <br /> The Citizen Artist Date: Aug 17-May 18 <br /> Use of Funds: Artistic Contracts <br /> NCAC Funding Priority: 0 1st 0 2nd H 3rd <br /> NCAC Multicultural Requirement? $2500 Yes Amount $ 0 No <br /> Total number served: 50 middle + high school students <br /> Community served: Whole county <br /> Suspended students & after-school: 60% AA / 30% Latino / 55% FRL <br /> Demographics: <br /> CHECKLIST <br /> H Completed application form with M. Budget: FY17-18 <br /> signatures H Board List <br /> • Narrative H Tax exemption letter <br /> • Project Budget worksheet I ',ample publicity <br /> H Resumes of key artists/instructors H Work samples <br /> H Financials: FY15-16 0 Letters of support(not required) <br /> H Financials: FY16-17 <br /> AMOUNT REQUESTED: $2500 AMOUNT GRANTED: <br /> FINAL SCORE: <br />