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DocuSign Envelope ID:AD99FE27-E625-45CC-B353-AEE3ADA2F2DA <br /> i� / i I r i / ✓ f <br /> a„✓ r/l ii(i iy i l it/ i„ �r ,{ ilr!./,.i��,����, f r«. „e % i:./ /2017-18 GRANT APPLICATION COVERSHEET <br /> ,f c ,. <br /> 7 <br /> f <br /> Applicant: <br /> Street-Signs Center <br /> Date Received: 5/31/17 � Date Notified Complete: 6/1/17 <br /> "You Are Dead. You Are Here."" 7/17-10-17 <br /> Project Title: .Date: <br /> Use of Funds: Artist contracts <br /> NCAC Funding Priority: 1't El 2nd Cl "� <br /> NCAC Multicultural Requirement? IN Yes Amount 3000 Cl No <br /> Total number served: 1350 + <br /> Community served. :het Hill <br /> Demographics: Hard to determine <br /> CHECKLIST <br /> • Completed application form with Budget: FY17-18 lid <br /> signatures 04 Board list <br /> • Narrative N Tax exemption lette <br /> IN Project Budget worksheet Sample publicity <br /> • Resumes of Ivey artists/instructors W Work samples •�` <br /> • Financials: FY1 -16 0 Letters of support(not required) <br /> Financials: FY16-17 <br /> f <br /> I <br /> AMOUNT REQUESTED, $3000 AMOUNT GRANTED: <br /> FINAL SCORE: <br />