Alamance County Arts Council - Grassroots Arts Program

Subgrant Application Form

FY 2006-07                                                                            Page 1 of 4

 


Please Type or Print Clearly.  You may attach additional pages if needed.

 

Applicant Organization Information

 

Name of Applicant Organization       

Contact Person’s Name       

Contact Person’s Title       

Mailing Address       

City        

State        

Work Phone       

Home Phone       

Fax Number       

Email Address       

Website Address       

 

Please give a brief description of your organization including mission, programs and services and number and kinds of people served.

     

Please attach complete income and expense statement (an audit may be substituted for your last fiscal year and complete operating budgets for the current fiscal year.  Public schools and other large governmental or community agencies should attach arts program financial information only.  Please copy the totals from these attachments in the spaces below.

 

Last Year Actual FY                                               Current Year FY        

Actual Income $                                                     Income $        

Actual Expenses $                                                 Expenses $