Fillable Mini-grant Application Form Fillable

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Mini-grant Application Form Fillable

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Forest Grove Public Arts Commission
Mini-Grant Application
Page 1 of 2
Revised August 2019
Grant Guidelines:
-Provide seed money to local organizations offering Arts programming in Forest Grove at no charge to the community
-Preference is given to groups:
-Serving underrepresented portions of the community; children, seniors, low-income and Latinos
-Providing a substantial in-kind contribution; volunteer support and/or donation of goods and services.
-Eligible activities include music, dance, literary arts, fine arts, crafts, film and theatre arts
-Clubs and organizations are eligible to apply
-Organizations are not required to be registered as a non-profit.
Please print clearly or type your responses.
Project Name: _____________________________________ Organization:__________________________________
Contact Name(s): __________________________________ Contact Phone(s): ______________________________
Address, City, State, Zip:__________________________________________________________________________
E-Mail Address: _________________________________________________________________________________
1) Description of the Project: (in 50 words or less)
2) Describe the portion of the project for which you are requesting PAC Mini-Grant funds: (in 50 words or less)
3) Total Amount Requested From PAC (not to exceed $500): $__________________
4) Target Audience for project: ______________________________________________________
5) Date of Project(s): __________________________ Time: ______________________________
6) Location: ____________________________________________________________________
7) How will the project be publicized: _________________________________________________
(Notice of PAC sponsorship is required on printed materials and at the event and a logo will be given to you)
Note: The Forest Grove Public Arts Commission makes every effort to ensure that a representative will attend
all events sponsored in part by PAC, so notification in writing of changes in date/ time are required to be sent,
or emailed to the addresses at the bottom of this application. If the funded event does not occur as scheduled,
the event must be rescheduled and completed within 30 days of the originally scheduled event or the grant will
be rescinded.
Forest Grove Public Arts Commission
Mini-Grant Application
Page 2 of 2
Revised August 2019
8) Projected Budget
Total Estimated Costs: $______________________
9) Name of organizations that will partner or collaborate with this project:
10) Number of people in the community who are anticipated to participate in this project: ________________
11) How will this project benefit the residents of Forest Grove? (in 25 words or less)
Signature of applicant(s): _____________________________________ ____________________________________
Date Application Submitted:_________________________
PAC
Mini-Grant
Requesting
Organization
Other (Specify)
Personnel (explain):
Marketing & Publicity (explain):
Materials & Supplies (explain):
In-Kind Contribution (explain):
Total
$
$
$
Application needs to be submitted two weeks prior to a regular Public Arts Commission meeting (held the
3rd Thursday of each month) to be considered. Applicants should plan to attend the PAC meeting to
present the request and answer questions.
Send Application to: Public Arts Commission, P.O. Box 326, Forest Grove, OR 97116
Or Email Application to PublicArtsCommission@ForestGrove-or.gov
Within 30 days of the funded event, the applicant is required to submit the Project Summary and
Evaluation to City Hall, Attention: Beverly Maughan, PO Box 326, Forest Grove, OR 97116. The report
should include receipts, copies of publicity and photos, if possible. A reimbursement check, not to exceed
grant amount, will be processed and distributed two weeks after receipt of Project Summary and
Evaluation.
NOTE: Request for reimbursement and summary report must be received within 30 days of the
completion of the event or the grant money will be returned to PAC general budget.
Please initial indicating an understanding of the above-mentioned requirements:___________.
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Completed 12 July 2020

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