Worcester Arts Council | 455 Main Street | Room 409 | Worcester, MA 01608
GRANT AMENDMENT FORM
This form is used by the Worcester Arts Council to authorize amendments to grant
awards made under the grant programs of the Mass Cultural Council.
Amendments will be authorized only if such changes do not alter the substance
or fundamental purpose of the original application.
Name of person requesting Amendment:
Grant Recipient (person or organization):
Project Title:
Grant Application Number:
(WAC Use Only)
Project Title and description:
Amendment requested and its purpose:
/ / 2020
Signature of Requestor Date
Approved by:
/ / 2020
WAC Commissioner Date
Print Form
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signature
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