Grant Request Application
Please complete the following application to request funding from the Lindsborg Arts Council. Grants will be reviewed quarterly. Incomplete information may create a delay in the review of the request. Deadlines are as follows:

1st Quarter: due March 31st
2nd Quarter: due June 30th
3rd Quarter: due September 30th
4th Quarter: due December 31st

Please also note that you may not receive 100% of your request. We encourage seeking out secondary
sources for funding.

The LAC reserves the right to consider other proposals, but priority will be given to those individuals/organizations submitting applications in a timely fashion.
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1. Organization name: *
2. Contact individual: *
3. Email *
4. City/State/County: *
5. Best phone number here you can be reached: *
6. Is the organization tax exempt? *
7. Is the organization a 501(c)3 nonprofit agency? *
8. If YES, please provide the organization's Employer Identification Number (EIN).
9. If NO, please provide the name of the sponsoring 501(c)3 non-profit agency and its EIN number.
10. If you have a for-profit sponsoring agency, please provide its EIN number.
11. Project title:
 *
12. Date of request:
 *
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13. Date(s) of project: *
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14. Grant request amount:
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15. Total project budget: *
16. Types of funds requested: *
Required
17. Please include a short summary of the project.
 *
18. List the organization's board members, staff, key personnel, interested parties or collaborators:
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19. What is the mission statement and purpose of your organization?
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20. Discuss the overall timeline or timetable of the project/program, including the major dates of your program/project (If the program is ongoing, please specify here).
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21. Describe the project/program in detail, including number of years the program has been in existence and the overall purpose of the project.
22. Provide a definition of the need, including how the need was determined.
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23. Explain how your project aligns with the Lindsborg Arts Council's mission:

"The mission of the Lindsborg Arts Council is to act as a coordinating educational and service organization to foster, promote, encourage and increase the knowledge, appreciation and practice of the arts in Lindsborg and the surrounding area."
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24. Describe the targeted population of the project/program and/or the overall demographics the project/program will serve. Please include an estimate of how many participations will benefit from the project/program.
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25. What are the expected results and what is your target date for achieving said results?
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26. How will the success of the project be measured/evaluated? *
27. Provide a budgetary breakdown of the program/project itemizing how LAC monies will be used. State specifically how LAC funds will be used to help this project. Please include as specific of a budget breakdown as you are able including, but not limited to: other sources of revenue for the project/program (other grants or funding sources, enrollment fees, admission, underwriting contributions, etc;) project fees and expenses (services, space rental, supplies, promotion and publicity, etc;) and any other budgetary information you believe is important to convey the full scope of the project/program. *Note: if preferred, you may email this information in document or spreadsheet form to lindsborgarts@gmail.com.
28. Please list how you will integrate recognition to the LAC in your program or project.
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29. I certify that all of the information submitted above is true and accurate to the best of my understanding. I further certify that the organization is current on all IRS filings, including form 990 tax returns and all quarterly payroll returns. All grant funds awarded must be expended only for the purposes as specified in the application form. Any emendations to the project regarding the use of funds must be submitted to the Lindsborg Arts Council prior to the release of these funds. Their modified purpose is subject to the approval of the Lindsborg Arts Council board of directors. If awarded funds, grantees will maintain all records for the project or program for a period of three (3) years as well as meet all follow-up requirements as specified by the Lindsborg Arts Council regarding funding requests.

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