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DocuSign Envelope ID:3E2A8197-2735-44CA-8810-5AD399233576 <br /> 1111 <br /> 011 <br /> 1111 .6*'1114k IF 114 ' 1111 I T 111 I 111 II 111111 1111 1 I 1111111% <br /> 2017-18 G NT APPLICATION COVERSHEET <br /> f f <br /> Applicant: Pam Baggett <br /> - - <br /> Date Received: 61 17 Date Notified Complete: 6-2-17 <br /> Project Title: Project Poetry Date: 8/1/1 7-5/1/1 8 <br /> Use of Funds: Artistic Staff <br /> Total number served: 30-60 per event/15-20 per workshop <br /> Community served: Whole county <br /> Demographics: Seniors / writers of all levels/ages <br /> CHECKLIST <br /> Completed application form with ffi Resumes of key artists/instructors <br /> signatures El Sample publicity <br /> ▪ Narrative @ Work samples <br /> • Project Budget worksheet @ Letters of recommendation (not required) <br /> AMOUNT REQUESTED: $1365 AMOUNT GRANTED: <br /> FINAL SCORE: <br />