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DocuSign Envelope ID:70E97245-CBDE-4A68-90A8-9FB875F7C092 <br /> 111 <br /> 4sN 1111' I 1111111111111111111 IIIII S I Hill II1111" C 1111 I 1111 All 11111 1 <br /> 2017-18 GRANT APPLICATION COVERSHEET <br /> Applicant: Dawn Hummer <br /> Date Received: 6/1 /17 Date Notified Complete: 6/9/17 <br /> Free Form Weaving for Seniors <br /> Project Title: Date: <br /> Use of Funds: Artistic staff + equipment <br /> Total number served: 8 per class <br /> Community served: Seymour Center (CH) <br /> Demographics: Seniors <br /> CHECKLIST <br /> ffi Completed application form with N Resumes of key artists/instructors <br /> signatures @ Sample publicity <br /> N a t 1 -. ',Nre-* @ Work samples <br /> X150Foject Budget worksheet — rv04-- Z.e.--trO 0 Letters of recommendation (not required) <br /> AMOUNT REQUESTED: $3000.00 AMOUNT GRANTED: <br /> FINAL SCORE: <br />