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DocuSign Envelope ID:A93DFB16-F899-47A7-98E9-B1FBA2F2F1B5 <br /> CC5- I OULA))/(7\--) <br /> ...„111 <br /> 2017-18 G NT APPLICATION COVERSHEET <br /> Applicant: Mary Scroggs Elementary School <br /> Date Received: 6/2/17 Date Notified Complete: 6/8/17 <br /> Project Title: Paperhand Puppet Extravaganza Date: 5/1 /18 <br /> Use of Funds: Artistic contracts <br /> NCAC Funding Priority: 0 1st 2nd 0 3rd <br /> NCAC Multicultural Requirement? @ Yes Amount $ 1250 <br /> No <br /> Total number served: 504 students <br /> Community served: CHCCS - Chapel Hill <br /> Demographics: 30% FRL <br /> CHECKLIST <br /> • Completed application form with @ Budget: FY17-18 <br /> signatures @ Board List <br /> • Narrative 0 Tax exemption letter <br /> • Project Budget worksheet @ Sample publicity <br /> • Resumes of key artists/instructors @ Work samples <br /> • Financials: FY15-16 0 Letters of support(not required) <br /> ▪ Financials: FY16-17 <br /> AMOUNT REQUESTED: $2500 AMOUNT GRANTED: <br /> FINAL SCORE: <br />