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DocuSign Envelope ID:312E3C6B-6E22-4E29-9F88-860CF77DF595 <br /> 2 1111 <br /> 2017-18 GRANT APPLICATION COVERSHEET <br /> Applicant: Hillsborough Arts Council <br /> Date Received: 5/30/17 Date Notified Complete: 6/1/17 <br /> Project Title: Operating expense Date: FYI 7-18 <br /> Use of Funds: Staff salary <br /> NCAC Funding Priority: @ 1st 0 2nd o 3rd <br /> NCAC Multicultural Requirement? 0 Yes Amount $ E No <br /> Total number served: 20k + <br /> Community served: Hillsborough <br /> Demographics: Hillsborough community <br /> CHECKLIST <br /> • Completed application form with @ Budget: FY17-18 <br /> signatures @ Board List <br /> @ Tax exemption letter <br /> Vgr veactti Be p <br /> Budget worksheet publicity <br /> esumes of key artists/instructors k samples <br /> Financials: FY15-16 A:KO kpi n <br /> Letters of support(not required) <br /> • Financials: FY16-17 <br /> AMOUNT REQUESTED: $6000 AMOUNT GRANTED: <br /> FINAL SCORE: <br />