HomeMy WebLinkAbout7/09/2015 - City Arts Commission - 09 Cultural Arts Grant Application Attachment B
NEWPORT BEACH CITY ARTS COMMISSION 2015-16 CULTURAL ARTS GRANT APPLICATION (Applications must be typed or word-processed- you may reformat on the computer as long as it
appears the same: i.e. use Times New Roman 12 point and the same pagination.)
Popular Name of Organization
Legal Name (if different) Federal Tax ID No.
Mailing Address
City Zip
_____________________________________________________________________________________ Contact Name Telephone
_____________________________________________________________________________________
FAX e-mail Web Site
Geographical Area Served Have you received a City of Newport Beach Cultural Arts Grant before? ____ If so, when? ________
Year organization was founded Number of paid staff _____ # of active volunteers ___ ___
Total amount requested: (from request line of project budget) $ _________
Estimated number of people in Newport Beach that the proposed project(s) will serve: _______
1
CULTURAL ARTS GRANT APPLICATION
1. Briefly describe below your organization’s purpose, mission, and goals.
2. Identify and describe why there is a need in the Newport Beach Community for your proposed
project/program. Include a quantitative description of the need and on what you based your findings (i.e. “Based on a study done by the PTA, there are one hundred children in the 4th-6th grades at Newport Elementary who have had no training with musical instruments.” ) Describe how you have
determined that your organization is the best organization for the proposed project/program.
2
3. Describe the specific project/program that will be funded by a cultural grant. Include how the
proposed project/program will be implemented and outline a schedule or project timeline, with planned dates and locations. Identify individuals and groups involved, particularly artists and performers, and describe their roles and responsibilities. Describe the background and qualifications
of your organization and key personnel to be involved in the program. Remember: the City funds
only projects and programs- not operating expenses. These projects and programs must promote community involvement and awareness of the arts in Newport Beach.
Is this a new_____ or existing ___ _ project/program?
4. Define or describe the segment of the population in Newport Beach that you intend to serve by your
project/program. Include such things as age, location, numbers served, etc.
3
5. Complete the project budget form. Address only the budget for the specific project, not your annual
operating budget. For multi-project proposals, please duplicate and fill out a budget for each project. Please annotate the budget at the bottom if there are details (such as a breakdown of personnel or a marketing budget) critical to the proposal.
PROJECT BUDGET Funding from the City of Newport Beach Funding from Other Sources EXPENSES-Personnel
Artistic
Administrative
Technical Production
EXPENSES-Operating
Facility Expense/Space Rental
Marketing
Production/Exhibition
Expense
Touring/Presentation Expense
Educational Materials
Transportation
Equipment
Other (if greater than 10%,
annotate below)
GRAND TOTAL
6. Describe the expected quantifiable outcomes of your project/program and how you will evaluate the
results. Be very specific in addressing the ways that you will determine that your project/program met
the needs that you identified and accomplishes the goals you set out to achieve (i.e. you provide 50
hours of musical instruction and instruments to the 100 children at Newport Elementary school as measured by music store rental receipts and logs of instructors.)
4
7. Attachments Requested
Please do not send material in excess of what is requested; it will not be seen by the Arts Commission.
• A list of Board Members and their affiliations
• A recent list of individuals, corporations and foundations that provide organizational support- not to exceed one page.
• If you are a 501(c) (3) organization attach a copy of your IRS determination letter (or your fiscal
agent’s) indicating tax exempt status.
• One brochure and/or one press clipping. Do not send photos, videos, CDs or any other extraneous material. It will not be presented to the Arts Commission.
8. Please complete this operating budget form for 2014/15 and 2015/16. This is not the
project/program budget for which you are applying, but your overall organizational budget.
You may annotate at the bottom if there are details critical to the proposal. OPERATING BUDGET
2014/15 Budget (current) 2015/16 Budget (projected)
I. Income (cash only)
Contributed
Earned
Total Income
II. Expenses
Program
General and Administrative
Marketing and Development
Total Expenses
III. Operating Surplus/Deficit (Income minus Expenses)
IV. Fund Balance at Beginning of Year
V. Accumulated Surplus
(Deficit) (Add lines III and IV)
VI. In-Kind Contributions
(attach schedule if greater than
10% of total income)
9. I verify that the information submitted in this application is true and correct to the best of my
knowledge. Name ____________________________________ Title ____________________________________
Signature __________________________________________ Date ___________________________
5