NATIONAL PERFORMANCE NETWORK

COMMUNITY FUND FINAL REPORT —for NPN PARTNERS

Use this form to report on The Community Fund Only.

Use the Residency Final Report to Report on the Residency component of the Project.

(1) Fill out Report on computer (2) Email this final report to

(3) Mail a hard copy of this report with supplemental materials crediting NPN (press, fliers, brochures)and photos directly relating to the project NPN. Contact website for current address: http://www.npnweb.org/contact/

A) GENERAL PROJECT INFORMATION

1) NPN Partner Information

NPN Partner: / Phone:
Contact Name: / Email:
Title: / Report Date: / //

2) Community Fund Information

Agreement ID#: / C / Residency Begin Date: / //
Project Title: / Residency End Date: / //

3) NPN Projects related to the Community Fund: (MUST be completed if applicable)

(1) / NPN Residency: / Agreement ID#: / C
(2) / Creation Fund (if applicable): / Agreement ID#: / C

B) SUPPLEMENTAL MATERIALS

Date by which NPN should expect supplemental materials crediting NPN (press, flyers, brochures) and photos: //

C) COMMUNITY FUND EXPENSES AND INCOME (actuals)

Amounts should only reflect Community Fund Project costs. Residency costs should not be included.

1) PROJECT INCOME

TYPE OF INCOME / SOURCES (PLEASE LIST) / AMOUNT
NPN Community Fund / $
Corporate / $
Foundation / $
Government / $
Private / $
Earned (tickets, workshop fees, etc.) / $
General Operating Funds / $
Co-presenter/Community Partner / $
In-Kind / $

TOTAL INCOME

/ $


2) PROJECT EXPENSES

TYPE OF EXPENSE / AMOUNT
Artist Fees (other than NPN Residency Agreement) / $
Promotion, Marketing / $
Tech, Supplies / $
Facilities / $
Administration/Management (staff time, insurance, etc.) / $
Other Costs (explain): / $
TOTAL COMMUNITY FUND EXPENSES / $

D) AUDIENCE/PARTICIPANT STATISTICS

COMMUNITY FUND ACTIVITIES
Enter Number
Number of Activities
Total Number of Attendees
Organizational Partners / Enter Number
Schools
Other Organizational Partners
Age / Enter % of Total Attendees
Senior Citizens
Under 18
Race (predominant identity)
Classifications taken from the NEA / Enter % of Total Attendees
American Indian/Alaska Native
Asian
Black/Not Hispanic
Hispanic
Native Hawaiian/ Pacific Islander
White/Not Hispanic
No Single Group
Other Identifiers / Enter % of Total Attendees
Artists
Teachers
Other-abled
Lesbian, Gay, Bi-sexual, Transgender


E) COMMUNITY FUND EXPERIENCE

Your feedback is valuable and candor is appreciated. Please feel free to report on the positives and negatives of the Community Fund Project.

1) Do you want information to be kept confidential?

2) What were the project objectives? Give three one-sentence objectives.

A.
B.
C.

3) How were the project objectives met/not met?

5) How did the Community Fund allow you to take risks? (artistically, politically, socially, etc.)

6) How did the Community Fund impact your organization financially?


7) How did the Community Fund impact your community?

8) How did the project deepen and/or expand the relationship between your organization, the artist, and the community?

9) QUOTES: (OPTIONAL) NPN collects statements to use in publications. Please mention anything else of importance to you and NPN regarding this project and/or program.

Thank you!

EMAIL TO:

MAIL WITH SUPPLEMENTAL MATERIALS TO:

NATIONAL PERFORMANCE NETWORK

ATTN: PROGRAM ASSISTANT

CONTACT WEB FOR CURRENT ADDRESS: http://www.npnweb.org/contact/

PH: (504) 595-8008 X209

National Performance Network

NPN COMMUNITY FUND-NPN PARTNER Final Report

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