1
With funding from:
North Carolina Arts Council
Regional Artist Project Grants
FINAL EVALUATION
AND
ACCOUNTABILITY REPORT
Return This Form and Attachments to your local Arts Council:
Alamance County Arts CouncilCaswell Council for the Arts
135 West Elm StreetPO Box 689
Graham, NC 27253Yanceyville, NC 27312
(336) 226-4495(336) 694-4591
ArtsGreensboroHigh Point Arts Council
PO Box 877Centennial Station Arts Center
Greensboro, NC 27402121 S Centennial Street
(336) 373-7523 High Point, NC 27260
(336) 889-2787
Randolph Arts GuildRockingham County Arts Council
PO Box 1033PO Box 83
Asheboro, NC 27204Wentworth, NC 27375
(336) 629-0399(336) 349-4039
Please complete and return this form within 30 days after the completion of your funded project, and NO LATER THAN January 15,2019.
Please print or type.
Note:You will not be eligible to apply for future Regional Artist Project Grants until this final report has been filed.
Regional Artist Project Grants
FINAL EVALUATION AND ACCOUNTABILITY REPORT
Date:
1. Name: Art Form
Address: Telephone (Day): (Evening):
E-mail Address:
2. Project Title/Brief Description:
Amount Awarded: Amount Spent:
Project Start: Project End:
3. Please provide a brief description and evaluation of the project supported by the Regional Artists Project Grant funds. Describe what occurred and how successful you think it was. Attach a schedule of events when applicable.
4. How did this project affect your future plans and advance your career?
What are your plans for the future now that your project is complete?
5. Explain how the project was advertised, if applicable. Please attach any publicity materials related to your funded project.
6. FINAL BUDGET: Please attach COPIES of your receipts. Itemize your expenses within each category below and total at the bottom.
Regional Applicant In-Kind In-Kind
Cash Expenses= Artists+ Cash + Contribution Source
Grant
______
Presentation/
Performance
______
Marketing/
Promotion
______
Supplies/
Equipment
______
Travel
______
Training
______
Services
______
Other
______
Total Budget $______= ______+ ______+ ______
Regional Artist Project Grant plus Applicant Cash (and In-Kind Contributions) equals the Total Budget for your project. Receipts should be equivalent to the amount of the grant you received.
7. CERTIFICATION
I certify that the information in this report, including all attachments and supporting materials, is true and correct to the best of my knowledge and that the expenditures were made for the purposes set forth in the grant application.
Artist:
(Name)(Signature)
Date:
Checklist:
____Schedule of Events Attached (if applicable)
____Publicity Samples Attached
____Narratives Complete
____Financial Information Correct and Complete (Please check addition)
____Copies of Receipts Attached
____Evaluation Signed and Dated
Submit complete evaluation no later than January 15, 2019.
Regional Artist Project Grant Final Evaluation Form, rev. 9/2017