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DocuSign Envelope ID:91E71F2D-9A8E-41EB-A333-428A1042BC15 <br /> 1111111 <br /> 2017-18 GRANT APPLICATION COVERSHEET <br /> Applicant: Hillsborough Elementary PTA <br /> Date Received: 6/2/17 Date Notified Complete: 6/5/17 <br /> Date: <br /> Project Title: <br /> 4th Grade Poetry Residency 8/21/17-9/1/17 <br /> Use of Funds: Marketing/admin costs <br /> NCAC Funding Priority: 0 1st 2nd 0 3rd <br /> NCAC Multicultural Requirement? Yes Amount $900 0 No <br /> Total number served: 80 4th graders <br /> Community served: OOPS - Hillsborough <br /> Demographics:21 % FRL <br /> CHECKLIST <br /> • Completed application form with @ Budget: FY17-18 <br /> signatures P :oard List <br /> ▪ Narrative Tax exemption letter <br /> @ Project Budget worksheet @ Sample publicity <br /> M Resumes of key artists/instructors EN Work samples <br /> @ Financials: FY15-16 0 Letters of support(not required) <br /> • Financials: FY16-17 <br /> AMOUNT REQUESTED: $9°C) AMOUNT GRANTED: <br /> FINAL SCORE: <br />