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DocuSign Envelope ID: 1BCF0634-CD89-4310-96E4-A32E6E1A91A6 <br /> 1 A <br /> 1,1C)611 <br /> 1111 Co <br /> 2017-18 GRANT Al* PLICATION COVERSHEET <br /> OC Histori useum cal <br /> Applicant <br /> Date Received: 61217 Date Notified Complete: Mil 7 <br /> Date: <br /> Project Title: <br /> & History Community Partnership July 17 - June 18 <br /> A <br /> Use of Funds: Artistic Staff <br /> NCAC Funding Priority: El 1 0 2nd <br /> NCAC Multicultural Requirement? @ Yes Amp nt $2400 El Na <br /> Total number served: 5-20 per class <br /> Community served: Fairview Community - Hillsborough <br /> Demographics: Latino <br /> CHECKLIST <br /> IN Completed apolication form with N Budget: FY17-18 <br /> signatures , XL!" N Board List <br /> Narrative ltPir.,(0' IN Tax exemption letter <br /> Project :udget worksheet me. Sample publicity <br /> @I Resumes of key artists/instructors M Work samples <br /> Financials: FY15-16 0 Letters of support not reAluired) <br /> Financials: FY16-17 <br /> AMOUNT REQUESTED: mwr AMOUNT GRANTED: <br /> FINAL SCORE: <br />